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• Woo, T. M., & Robinson, M. V. (2020). Pharmacotherapeutics for Advanced practice Nurse prescribers for Advanced practice Nurse prescribers (5th ed.). F.A. Davis Company.
• Chapter 14: Drugs Affecting the Respiratory System
• Chapter 45: Pneumonia
• Chapter 46: Tobacco Cessation
• Chapter 49: Upper Respiratory Infections: Otitis Media and Otitis Externa

• Recommended for drug dosing desk reference of adult populations-based practitioners: Lexicomp. (2017). Drug Information Handbook for Advanced Practice Nursing (17th ed.). Wolters Kluwer Clinical Drug Information.

You are expected to include two evidence-based practice articles to support your work. Additionally, you will need to include the national guidelines for any treatment plans/options. All papers must conform to the most recent APA standards.

Upper Respiratory Infections

Jackie is a 45-year-old white female with past medical history of controlled hypertension, controlled asthma, and eczema. She has a four-day history of nasal congestion, headache, sore

throat, sneezing, and productive cough. She denies fever, nausea, vomiting, and myalgias. She has three children who recently went back to school following a summer vacation. No one else in her household is currently presenting with similar symptoms. She has no known drug allergies but is allergic to mums and ragweed. She calls her primary care provider’s office requesting a medication to treat her illness. She takes several medications, including the following:

• Mometasone 220 mcg—1 puff daily for asthma.

• Albuterol 90 mcg—1 to 2 puffs q4–6 hours as needed for shortness of breath.

• Lisinopril 10 mg—one tablet by mouth daily for hypertension.

• Oxymetazoline hydrochloride 0.05% nasal spray—2 sprays per nostril bid × 3 days.

Provide rationales for your answers:

1. Which of the following is the MOST appropriate drug to recommend?

a. Oxymetazoline hydrochloride 0.05% nasal spray— 2 sprays per nostril bid until symptoms resolve.

b. Naproxen 220 mg—one tablet by mouth every 12 hours as needed until symptoms resolve.

c. Dextromethorphan ER oral liquid—60 mg every 12 hours until symptoms resolve.

d. Amoxicillin–clavulanic acid 500 mg every 8 hours for seven days.

2. Which of the following nonpharmacological therapies is NOT recommended?

a. Steam inhalation

b. Increased water intake

c. Menthol lozenges

d. Saline gargle

3. Jackie is insistent on taking complementary therapy to help treat her symptoms. What is the MOST appropriate recommendation?

a. Echinacea purpurea tincture—0.75 mL

b. Fresh garlic—3 cloves

c. Acidophilus probiotic—1 tablet daily

d. Vitamin C—1g

In your answers, you should make specific references to relevant guidelines and other clinical information. 

Rubric

The writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well-developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment. Cites three or more references, using at least one new scholarly resource that was not provided in the course materials all instruction requirements noted

The summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided. The student’s application in practice is accurate and plausible, and additional scholarly resources supporting the application are provided all questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation. Includes all relevant subjective and objective data; diagnostic testing; routine care to be provided; patient education; anticipatory guidance; review of previous diagnostics; and follow-up of acute concern and chronic health issues, etc.—based on assignment instructions all instruction requirements noted.

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