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Upper Respiratory Infection Treatment Plan Case Study

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UPPER RESPIRATORY INFECTION

Treatment of Upper Respiratory Infection

Plan

Therapeutics: The treatment of the URI would in this case be focused on the resolution of symptoms. There are a number of pharmacological interventions that could be deployed towards this end. These are inclusive of the use of antihistamines, decongestants, and pain relief medications. It would be prudent to note that in a 2019 study, DeGeorge, Ring, and Dalrymple (2019) make an observation to the effect that one effective approach in efforts to treat URI involves combining antihistamines and nasal decongestants. The antihistamine prescribed in this case will be diphenhydramine (Benadryl), whereas the nasal decongestant prescribed shall be phenylephrine (Neo-synephrine nasal).

No antibiotics will be prescribed owing to the fact that there are no indications of secondary infections. It would also be prudent to note that there are no indications that some of the symptoms highlighted have lasted for 10-14 days, which could have in this case been an indication of a sinus infection.

Educational: The patient will be advised that adequate rest is instrumental in efforts to alleviate symptoms going forward. Further, she will be advised to increase her fluid intake. This will be especially important owing to the fact that she has fever and a runny nose which means that she needs to replenish lost fluids. On this front, she should avoid taking cold fluids and/or beverages. Further, it should also be noted that the patient could be advised to ensure that indoor humid levels are increased.

There would be need to ensure that the patient is also aware of the measures to ensure that she does not spread the infection to others (specifically those she interacts closely with). Such measures would also ideally protect the patient from acquiring the infection in the future. These measures are inclusive of, but they are not limited to; regular washing of hands with soap and water, avoiding close contact with persons (i.e. avoiding confined spaces), covering mouth when coughing, etc.

Consultation/Collaboration: N/A

References

DeGeorge, K.C., Ring, D.J. & Dalrymple, S.N. (2019). Treatment of the Common Cold. American Family Physician, 100(5), 281-289.

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