The nurse expects the initial plan of care for a 9-month-old child with an acute otitis media infection to include
a. symptomatic treatment and observation for 48 to 72 hours after diagnosis
b. an oral antibiotic, such as amoxicillin, five times a day for 7 days
c. pneumococcal conjugate vaccine
d. myringotomy with tympanoplasty tubes
A
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A Select children 6 months of age or older with acute otitis media are treated by
initiating symptomatic treatment and observation for 48 to 72 hours.
B Acute otitis media may be treated with a 5- to 10-day course of oral antibiotics.
When treatment is indicated, amoxicillin at a divided dose of 80 to 90 mg/kg/day
given either every 8 or 12 hours for 5 to 10 days may be ordered.
C Pneumococcal conjugate vaccine helps to prevent ear infections but is not
included in the initial plan of care for a child with acute otitis media.
D Surgical intervention is considered when the child has persistent ear infection
despite antibiotic therapy or with otitis media with effusion that persists for more
than 3 months and is associated with hearing loss.
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