A 2-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 mL 3 times daily by mouth for 10 days for otitis media. Which is the priority teaching instruction for the parents of this child?
1. Giving the antibiotic for the full 10 days
2. Measuring the prescribed dose in a household teaspoon
3. Spreading the dose evenly during daylight hours
4. Stopping the antibiotic when the child is afebrile
1
Explanation:
1. Antibiotics must be administered for the full number of days ordered to prevent mutation of resistant strains of bacteria.
2. A household teaspoon could contain less than 5 mL, and the full dose must be given.
3. The antibiotic should be administered around the clock to maintain a blood level.
4. Stopping the antibiotic before the prescribed time will permit remaining bacteria to reproduce, and the otitis media will return, possibly with antibiotic-resistant organisms.
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