Active Learning Modules Prescription Writing/ Patient Safety

EXERCISE 1 Clinical Scenario Prescription Writing/Patient Safety Slide 2 EXERCISE 1 Clinical Scenario A 9-month-old male who has been consistently evaluated in your office since birth for well-child checkups presents to your office today with history of rhinorrhea and cough for four days. His mother states that his oral intake has decreased and he has been coughing since yesterday. His mother had rhinorrhea for two days one week prior to this visit. On exam his temperature is 100.3 F, his heart rate is 146 beats/minute, his respiratory rate is 52 breaths/minute, and his O2 saturation is 89% on room air. He has visible rhinorrhea, mild subcostal retractions, and bilateral expiratory wheezing. His RSV rapid antigen detection test is negative. The child’s immunizations are up to date.  

Prescription Writing/Patient Safety Slide 3 EXERCISE 1 Question 1:1 Which of the following is the most appropriate therapeutic intervention? Prescribe azithromycin for five days Administer nebulized albuterol every 6 hours until wheezing resolves Admit this infant for observation and IVF maintenance and replacement Discharge the patient home with instructions for oral rehydration solution and nasal suctioning Administer a dose of chlorpheniramine in the office and continue its administration every 6 hours at home until the rhinorrhea and cough resolve

EXERCISE 2 Clinical Scenario Prescription Writing/Patient Safety Slide 4 EXERCISE 2 Clinical Scenario JR is a 3-year-old male who presents to your office with fever (102.5 F) for three days. He has been irritable and has had associated “right ear pulling” for five days. His past medical history is negative, and he has never received any prescription medication. His immunizations are up to date. His weight is 31 lb., his right tympanic membrane is bulging, and erythematous purulent retrotympanic exudate is visualized.

Prescription Writing/Patient Safety Slide 5 EXERCISE 2 Question 2:1 Which of the following prescriptions (see next slide) would you provide for this patient? (Be prepared to defend the rationale for your choice.)   Example A Example B Example C Example D Example E

Prescription Writing/Patient Safety Slide 6