Discussion Allergy After reading the article posted
Discussion Allergy After reading the article posted below, address the answers to listed questions listed below in your discussion. Provide references to support your decision. Norton, A., Konvinse, K., & Phillips, E. (2018). Antibiotic Allergy in Pediatrics. Pediatrics, 141(5), 1-17 https://publications.aap.org/pediatrics/article/141/5/e20172497/37932/Antibiotic-Allergy-in-Pediatrics?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000 1. When ascertaining the HPI (history of present illness) and PMI (past medical history) of a child with a reported drug allergy, what questions would you ask the child and caregiver? Why are these questions important? How will the answers to these guide you in formulating a differential diagnosis? What physical findings and laboratory testing will guide you in discerning the diagnosis for this patient? 2. What work up would you prescribe for a child with a suspected IgE mediated allergic reaction? 3. You are caring for a 38 pound, 3 year old male being seen in the office for the chief complaint of otalgia. After performing a history and physical examination you diagnose the child with BOM (bilateral otitis media). The mother reports that the child is allergic to Amoxicillin. When you ask her the details of the reaction, she reports that when the child was 2 years old, he developed a head to toe macular papular rash along with pruritus thirty minutes after oral ingestion. He did not develop facial edema, stridor, coughing, wheezing or vomiting. The symptoms were treated with diphenhydramine with total resolution of the rash in five days. The mother reports that the child received one previous dosage of amoxicillin when the child was 10 months old for ROM. What antibiotic will you prescribe for this child today? What is the dosage for his weight? What is the likelihood that that child will develop an allergic reaction to the medication that you prescribe? What education will you give the mother when prescribing this medication?
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