Reference no: EM133568582

Samantha is a 7-month-old female who presents with a temperature of 101°F axillary and upper respiratory infection symptoms for the past 2 or 3 days. The fever has been present only for the past 12 hours. She is taking fluids well and having wet diapers, and the fever is controlled with acetaminophen. She has been healthy since birth. She was breastfed until age 6 months and is currently being fed commercial iron-fortified formula. Her parents do not smoke, nor is she exposed to significant tobacco smoke. She has been in day care for the past month. Her current weight is 17 pounds. Her vital signs are all within normal limits, except for a current axillary temperature of 101.6°F. Her physical examination reveals the following: Right TMs are a dull opaque pink; left TM is bulging with purulent fluid, greenish coryza; and throat is clear with some green postnasal drip noted. Lymph glands show no adenopathy. Heart has regular rhythm and rate, with no murmur. Lungs show clear breath sounds in all fields, with upper airway congestion. Abdomen is benign. Skin is clear of rashes. Diagnosis: acute otitis media. Answer the following questions:

1. What is your initial treatment plan?

2. What education regarding your treatment plan will you provide?

3. When is an appropriate follow up time frame for this patient?