Case Study and PICOT Question Worksheet
Case Description
Imagine that you are an NP working in a family practice setting. Your patient is a 26-year-old female who comes in today complaining of cough, fatigue, and chest pain. Vital signs are all within normal limits. She has been sick for 3 weeks and anxious to get back to work. She is requesting antibiotics. As her NP you believe she has viral bronchitis. Your treatment plan consists of symptomatic management and no antibiotics.
Review Figure 7-1: PICOT definition and questions on p. 184 of Role Development for the Nurse Practitioner.
Complete the worksheet below according to the following guidelines:
• Use the PICOT method to develop a searchable question.
• Identify one scholarly article…show more content… Viral bronchitis is a type of bronchitis that is caused by viral activity. The disease is characterized by symptoms such as chest pains, coughs, and fatigue among others. When making clinical practice decisions, it is important that nurses utilize the best current evidence available (Stewart, 2013). Evidence suggests that the tanreqing injections have potentially beneficial effects in reducing the time to symptom resolution and improving rates (Pei, Xing, Yan-Ming, Yan, & Lin-Hui, 2016). However, an alternate treatment, the use of antibiotics, does not have any significant effect on symptom relief (Carl et al,…show more content… It is recommended that no antibiotics be used in the treatment of viral bronchitis since evidence shows that the use of antibiotics in bronchitis treatment has no real benefits with regard to symptom relief
2. In patients with chronic bronchitis, it is recommended that therapy through the use of tanreqing injection is administered to help relieve airway inflammation, crackles, fever, coughs and other symptoms
3. Appropriate and sufficient support to ensure that the patient is oxygenates adequately, gets sufficient bed rest, and avoid environmental irritants such as cigarette smoke is vital in the management of viral bronchitis and is therefore
