When to use antibiotics: Persistent Cough Case Study for New Nurse Practitioners

Рет қаралды 19,964

Күн бұрын

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).
---------------------
Don't forget to grab your free Ultimate Resource Guide for the New NP at www.realworldnp.com/guide
More Resources:
Lab Interpretation Crash Course: www.realworldnp.com/labs
Digital NP Binder: www.realworldnp.com/binder
Diabetes Medication Workshop: www.realworldnp.com/diabetes
------------------------
Come follow along for even more tips and inspiration:
Instagram: / realworldnp
Facebook: / realworldnp

Пікірлер: 46

@claytonrogers9290 4 жыл бұрын

I’m grateful for the opportunity to take care of patients and give the best care I can! Clayton FNP-C

@RealWorldNP 4 жыл бұрын

Me too!! Such an honor an privilege.

@JuicyASMR 4 жыл бұрын

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!!!

@RealWorldNP 4 жыл бұрын

Thank you so much for this note!! I'm so glad our paths have crossed! You're so very welcome 😊

@PrincessAisha2006 4 жыл бұрын

As always, great video Liz! Always look forward to new videos on Tuesdays!

@RealWorldNP 4 жыл бұрын

Aisha, you're the best! I'm so glad you're enjoying them :) Thank you!!

@Bidpiere 4 жыл бұрын

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...

@RealWorldNP 4 жыл бұрын

I'm so glad!! Thank you so much. Will definitely do one for COPD :)

@jamullic 4 жыл бұрын

Thankful for you making these videos. So helpful! Thank you!

@RealWorldNP 4 жыл бұрын

You're so welcome! I'm so glad!!

@carriehope8152 3 жыл бұрын

I just discovered these today. You're wonderful

@RealWorldNP 3 жыл бұрын

Thank you so much!

@tracyrutherford1430 Жыл бұрын

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!

@RealWorldNP Жыл бұрын

Thank you for your kind words!

@JustMe-yv8bo 4 жыл бұрын

Thankful for these helpful videos and my dear friend Sarah that told me about them! It really helps sink things in and with reassurance.

@RealWorldNP 4 жыл бұрын

Awesome!! So happy to have you here :)

@Ralphdc19 3 жыл бұрын

Thank you so much for making this video. Awesome techniques, tips, and teaching!

@RealWorldNP 3 жыл бұрын

You are so welcome, and I am really glad it is helpful to you!

@claytonrogers9290 4 жыл бұрын

Yes! COPD! Make one for that!

@RealWorldNP 4 жыл бұрын

Will do!!

@helenn8839 3 жыл бұрын

You’re so helpful, thank you for these videos!

@RealWorldNP 3 жыл бұрын

You're so welcome!

@Belboo123 Жыл бұрын

this is probably your best, most relevant video yet! thanks liz

@RealWorldNP Жыл бұрын

Glad you think so!

@rainierabrenilla61 4 жыл бұрын

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.

@RealWorldNP 4 жыл бұрын

You are welcome :) Glad the videos help you.

@tuyisengegilbert2720 3 жыл бұрын

thanks

@RealWorldNP 3 жыл бұрын

You're welcome!

@savannahanderson1136 3 жыл бұрын

Man your videos are amazing! I feel so lost! Just graduated and haven’t got my first FNP job yet 😫

@RealWorldNP 3 жыл бұрын

Thank you so much and wishing you the best of luck in your search!

@claytonrogers9290 4 жыл бұрын

Chest pain and abdominal pain work up in primary care for video topics!

@RealWorldNP 4 жыл бұрын

Awesome ideas!

@helenn8839 3 жыл бұрын

Any suggestion for apps that quiz on medical issues?

@RealWorldNP 3 жыл бұрын

I don't have any that spring to mind. If you find one, let us know!

@wendye2916 4 жыл бұрын

Is it routine to order sputum cultures for suspected pneumonia?

@RealWorldNP 4 жыл бұрын

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.

@etheldeitz3392 Жыл бұрын

The post nasal can also be bacterial?

@RealWorldNP Жыл бұрын

This can happen therefore symptomatic patients will not improve but worsen.

@DabidRobinson 4 жыл бұрын

I could see how this could be hard when to not overuse antibiotics

@RealWorldNP 4 жыл бұрын

Thanks for watching :)

@florizzareyes6050 3 жыл бұрын

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?

@RealWorldNP 2 жыл бұрын

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!

@Zofmui 4 жыл бұрын

Her speaking is what I call "machine gun". She talks in really fast bursts. Makes it hard to listen to.

@RealWorldNP 4 жыл бұрын

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!

@helenn8839 3 жыл бұрын

@@RealWorldNP definitely don't exclude important information because we need it! I think it would also help if your audio was louder

@JD-bp6qz 2 жыл бұрын

@@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 KZfaq app if needed.