When to use antibiotics: Persistent Cough Case Study for New Nurse Practitioners
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- Опубліковано 13 лип 2024
- It's 2 p.m., the medical assistant comes to your office and lets you know your next patient is ready, and they're here because they "need antibiotics"...
... But do they? Or don't they?
They've "had a cold" or "a nasty cough" for over three weeks now.
... they've "tried everything," and "got an antibiotic last time."
Are you seeing this every day now, too? 'Tis the season.
This week's case study is all about that sticky situation--
✔️ Productive cough for over 3 weeks ("subacute")
✔️ What the differentials are, and
✔️ What to do about it (and who actually needs antibiotics).
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Lab Interpretation Crash Course: www.realworldnp.com/labs
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Diabetes Medication Workshop: www.realworldnp.com/diabetes
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I’m grateful for the opportunity to take care of patients and give the best care I can!
Clayton FNP-C
Me too!! Such an honor an privilege.
As always, great video Liz! Always look forward to new videos on Tuesdays!
Aisha, you're the best! I'm so glad you're enjoying them :) Thank you!!
I just found your channel a few days ago and you are a god send!!! Your channel is way underated for what you provide. I had struggled to find channels that offer case studies and go in depth about each cases. I really appreciate you!!! And thank you!!!
Thank you so much for this note!! I'm so glad our paths have crossed! You're so very welcome 😊
Thankful for you making these videos. So helpful! Thank you!
You're so welcome! I'm so glad!!
Thank you so much for making this video. Awesome techniques, tips, and teaching!
You are so welcome, and I am really glad it is helpful to you!
Thankful for these helpful videos and my dear friend Sarah that told me about them! It really helps sink things in and with reassurance.
Awesome!! So happy to have you here :)
You’re so helpful, thank you for these videos!
You're so welcome!
I just discovered these today. You're wonderful
Thank you so much!
I truly enjoyed this video. Keep them coming. You are doing well and it is such a blessing to us new practitioners! God bless! "Yes please" to the COPD video...
I'm so glad!! Thank you so much. Will definitely do one for COPD :)
this is probably your best, most relevant video yet! thanks liz
Glad you think so!
Grateful for you, Liz! Currently in my final clinical rotation and your videos are so helpful with my chronic condition patients! Thank you so much and keep the videos coming!
Thank you for your kind words!
Thanks so much for your videos and cheat sheets. I am a Nurse Practitioner student about to graduate in August. Your videos are helping me to review as well as improve my patient care at work as an RN and in my last clinical rotation.
You are welcome :) Glad the videos help you.
Yes! COPD! Make one for that!
Will do!!
Man your videos are amazing! I feel so lost! Just graduated and haven’t got my first FNP job yet 😫
Thank you so much and wishing you the best of luck in your search!
Chest pain and abdominal pain work up in primary care for video topics!
Awesome ideas!
thanks
You're welcome!
Any suggestion for apps that quiz on medical issues?
I don't have any that spring to mind. If you find one, let us know!
Thank you sooo much Liz for the breakdown. Your videos are so helpful !!!
If the patient is allergic to Penicillin, what other options would you choose? Would you recommend Doxycycline? Also would the saline rinse suffice or would you also recommend a cough syrup too?
Typically I discuss with the patient the treatment options-- I'll usually just do a sinus rinse and antibiotics if appropriate, but if their cough is keeping them up at night I'll offer that as well. Sanford Antimicrobial guide (the app is the most convenient to use instead of the book) has great algorithms of medication options based on the specific type of infections and allergies that patients may have. It's also updated regularly based on the IDSA guidelines, I would check that out for your penicillin question!
Is it routine to order sputum cultures for suspected pneumonia?
Not in the outpatient setting. The IDSA guidelines are here (www.idsociety.org/practice-guideline/community-acquired-pneumonia-cap-in-adults/), but basically for PNA the gold standard is chest x-ray, but can also use the CURB-65 scoring to help you determine if they need to be sent to the ER for pneumonia management.
I could see how this could be hard when to not overuse antibiotics
Thanks for watching :)
The post nasal can also be bacterial?
This can happen therefore symptomatic patients will not improve but worsen.
Her speaking is what I call "machine gun". She talks in really fast bursts. Makes it hard to listen to.
Hey Ken, so sorry it's hard to hear. I'm working on getting every video close captioned, so hopefully that will help. I talk fast in the videos because I know how busy all my listeners are, and how much they're trying to learn in a short period of time.
I can certainly slow it down if it's a barrier, I'll just have to include less info to keep the length of the videos around 20 minutes (the time that's been requested for these videos when I've asked for feedback).
Thanks so much for the feedback, I appreciate it!
@@RealWorldNP definitely don't exclude important information because we need it! I think it would also help if your audio was louder
@@RealWorldNP I appreciate how fast you speak. It's nice to get so much information in a short amount of time! Viewers can slow the speed of your audio down in the UA-cam app if needed.