Amina Johnson iHuman case study

• Give amoxicillin 500 mg PO tablets BID x 10 days
• Give ibuprofen 200 mg PO tablets, 2 tablets every 6 hours, do not exceed 8 tablets in a 24-hour period
• Teaching note. If cuiture not already ordered, obtain throat culture

Supportive Care

• Rest.
• Maintain adequate fluid intake
• Gargle with saltwater.
• Observe a soft diet and add cold food items such as popsicles or slushies
• Avoid irritants such as spicy foods or second-hand smoke.

Patient Education

• Educated patient on the high likely diagnosis of strep throat, current test results, empiric treatment regimen, and prognosis
• Educated patient on medications, including indications, proper administration, side effects, and red flag symptoms for discontinuation. Advised the patient to finish all of the antibiotics as prescribed, even if they start to feel better.
• Advised patient to replace toothbrush after being on antibiotics for 48 hours to avoid re-inoculation.
• Discussed the use of a secondary form of birth control while on the antibiotic.
• Recommended patient isolate at home and avoid contact with others until on antibiotic for 24 hours

Follow-Up

• Follow up in the clinic if symptoms do not start to resolve within 48-72 hours.
• Discussed warning signs with which to call the clinic immediately or to go to the ER, including but not limited to, inability to swallow, throat swelling, difficulty breathing, inability to maintain adequate fluid intake, severe increase in pain, inability to open the mouth, or for other concerning symptoms Amina Johnson iHuman case study