In this case study, you will need to refer to content in Chapter 19 for the antiviral agents. You are the nurse practitioner at the local walk in clinic. John Sebelius is a 36-year-old male patient who comes to the clinic with flu-like symptoms. John Sebelius states, “I didn’t get a flushot and now I must have the flu. All I want is an antibiotic so I can go back to work.” As the nurse practitioner, you inform him that you will need to gather some information and conduct an examination before you can write a prescription for an antibiotic. The first question you ask him is related to his onset of symptoms. He tells you that last night he started with a scratchy throat and chills. He did not take his temperature and he has nasal congestion, a cough, and severe body aches. He states his pain is approximately a 7.
Objective assessment findings:
102.4F, 96, 28, 132/80
Lungs are clear per auscultation; no retractions
Heart rate regular
Skin warm and dry
Frequent non-productive cough
Pain upon palpation of the frontal and maxillary sinuses
You inform Mr. Sebelius that he has contracted Influenza A, and that he does not have a bacterial infection. He states, “But I want an antibiotic.”
1. How will you respond to Mr. Sebelius’ statement?
2. What antiviral agents are prescribed for influenza A?
3. What are the dosage ranges, action, use, pharmacokinetics, pharmacodynamics, drugto-drug interactions, drug to herbal or food interactions, contraindications, adverse
effects, guidelines for administration, and patient teaching for the administration of