History of cough and congestion

Discussion Question 1
For this questions, please read the following case study and then respond to the questions noted below.
Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it
started out as a "normal cold" and it will not go away. He has a productive cough for green mucous and has
green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an
intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic
membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal
drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear
bilaterally.

  1. Is there any additional subjective or objective information you need for this client? Explain.
  2. Would you treat Mr. JDs cold? Why or why not?
  3. What would you prescribe and for how many days? Include the class of the medication, mechanism of
    action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and
    black box warnings.
  4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication,
    mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and
    contraindications and black box warnings
  5. What health maintenance or preventive education is important for this client based on your choice
    medication/treatment?