Antibiotic prescription for common cold

Antibiotic prescription for common cold

Hello everyone, today we are going to talk about how to discuss viral infections with patient. So especially, this is a season and a lot of patients will show up in the office with runny nose and mouth sore throat and mild aches in the body and possibly some of them significant symptoms. You know, they might have flu symptoms like severe body aches and diahera, and vomiting, so Noor is the nurse. She’s going to act like patient and she will act like a patient who is having symptoms of mild cold. So Noor what brought you in today? I am here today because I have this headache. My throat’s really sore, kind of scratching, but I haven’t really taken anything over-the-counter for it. You have not? No honey, dayqil, or nyqil? No I’m just always like a z-pack to like always like a z-pack no fever. Do you have any white patches in the throat I’m not for sure but you can look. Okay. Is your nose stuffy? My nose is stuffy and some

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drainage, so it has been three days you said? Yes around three days. You think it is a viral infection? You are a nurse, don’t you think it is a viral infection? Possibly but I still like z-packs. It always takes my symptoms away. So because z-pack we usually give when we think there is a bacterial infection. You know you know symptoms of bacterial infection, which are much more severe, which lasts longer. There must be a high-grade fever running In flu, you can have a these type of symptoms, but you’re not having flu symptoms you are just having common core symptoms. So it is not a very good idea to give a z-pack for the mild common cord. Even if you have a flu, the flu should be treated within two days of onset of the symptoms. So if you are more than two days of onset of symptoms, then we cannot check for flu. We get we come in sorry we can check for flu, but we cannot feed because treatment is just symptomatic then. Just tylenol and any cold medicine if you want over the counter. Usually, I tell our patients to drink some honey local honey. So I think your symptoms are more of a viral syndrome/ viral infection/ mild cold. I don’t think it is a good to take z-pack. Z-pak but I really like it, really makes me better. So what happens is when a patient who just wants antibiotic for upper respiratory infection and it is very difficult for the for us to convince them that it is a good idea to not take medication. What I do is I give them antibiotic prescription, usually people want Z-pack. If they ask for antibiotic shots
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or anything, I don’t give that because I do not think it is the right thing to do. I give the prescription I tell them wait for at least seven days of symptoms. If you’re at the end of the seventh days, if you think your symptoms are getting worse or if you think you are not getting better then you fill your antibiotic and take it, but if you keep on getting better, then you don’t need z-pack at the end of seven days. Usually the viral infections get better. But in those seven days, if your condition gets a little severe, then either you can seek another visit with a doctor or take antibiotic and see how you feel. At this time, I just give them when they do not listen to me I just give them a z-pack, but tell them wait for a few days because these symptoms do not warrant antibiotic treatment because these are viral infections. And we should not give in antibiotic in a viral infection. Thank you!

One Reply to “Antibiotic prescription for common cold”

  1. Dr. Moolani, this is a great idea! I'm a new grad NP and did one of my clinical rotations at an Urgent Care, here in Tucson, and I saw a lot of viral patients come in asking/demanding an antibiotic because "well it worked last time." The pocket prescription you suggest promotes antimicrobial stewardship but also prevents patient complaints. Thanks for sharing!

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