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Madison O’Reilly is a 6-year-old Caucasian female who has been brought to the pharmacy’s walk in

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Madison O’Reilly is a 6-year-old Caucasian female who has been brought to the pharmacy’s walk in clinic. Her mother states, she woke up about 3 hours ago crying with pain in her right ear. She also has a fever of 102 Fahrenheit. The otoscopic exam reveals a red, bulging eardrum. Madison weighs 36 pounds/ 16 kg.
1. What beta-lactam antibiotic will you prescribe? According to Epocrates, the drug of choice would be amoxicillin (Amoxil), which is in the penicillin family. If failed treatment occurs, a higher dosage of amoxicillin should be prescribed or the drug should be changed to amoxicillin/clavulanate (Augmentin). This should be tried before changing to a different drug class (Epocrates, 2014). Typically amoxicillin would be …show more content…

Pharmacotherapeutics
Precautions & Contraindications Whether or not the patient has had a previous hyper-sensitivity reaction to cephalosporins or a previous reaction to penicillins must be questioned. Caution should be used when prescribing amoxicillin to patients with renal failure or patients who are pregnant (EMC, n.d.). Amoxicillin does not treat viral infections or leukemia. Both of these should be ruled out if treatment is not successful.
Adverse Drug Reactions Nausea, vomiting, and oral thrush can occur with repeated or prolonged usage. Other side effects of antibiotics can be diarrhea. The diarrhea may also be a sign of a new infection such as, clostridium difficile. Anti-diarrheal medications are not indicated unless instructed by your provider (rxlist, n.d.).

Drug to Drug Interactions Amoxicillin can interact with medications such as Diuretics, oral contraceptives, Probenecid, Tetracyclines, and Warfarin (Woo, 2012).
Drug to Food Interactions There are not currently any drug to food interactions when taking this medication.
4. What patent teaching will you provide? When prescribing medications to children the parent or caregiver needs to be educated on the medication. Amoxicillin is excreted by the kidneys, so while using this medication; the child needs to drink plenty of fluids. Take the medication as

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