Question

Amanda, a 3-year old child, is brought in to your walk-in clinic to be treated for strep throat. The physician orders Amoxicillin powder for suspension.

You ask the child’s mother if the child has any allergies to antibiotics, and the mother says she does not. You then administer the first dose to the child.

Twenty minutes later, the Mother points out several hives the child just developed. You then notice the child itching and coughing, which quickly turns into shortness of breath.

It is apparent the child is having an idiosyncratic drug reaction. You begin treating the child.
1. What kind of idiosyncratic reaction is the child exhibiting?
2. List signs/symptoms of an anaphylactic reaction.
3. What type of reaction is this classified as?
4. What would have been a better approach to questioning the mother about the child’s allergies?
5. What are some of the brand names for amoxicillin?
6. What is the drug classification of amoxicillin?
7. What are the most common adverse reactions when using amoxicillin?
8. Amoxicillin is contraindicated in what types of patients?
9. What form and dosage of amoxicillin can be given to patients with phenylketonurics?
10. Would this reaction be considered a side-effect or an adverse reaction?
11. Amoxicillin alters the normal flora of the colon, leading to diarrhea associated with what condition?

Answer 1

1.) Urticaria is the type of reaction the child is having.

2.) Skin rash, nausea, vomiting, difficulty breathing, and shock.

3.) This is a anaphylactic reaction.

4.) asking the mother if the daughter had any drug allergies not just antibiotics and then checking the system for any past references to allergies for the child.

5.) Amoxil, Moxatag, and Larotid

6.) Penicillinase-sensitive penicillin

7.) It can commonly cause a mild rash and trouble swallowing/breathing.

8.) amoxicillin is contraindicated in patients with a known serious hypersensitivity reaction.

9.) The tablets of amoxicillin do not contain phenylalanine and can be used by phenylketonurics.

10.) the reaction to amoxicillin for patients with phenylketonurics?

11.) Clostridium difficile associated diarrhea

I hope this helps!!!