NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3914862 - Marvin Webster
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History Notecard by Makayla Bowens on case Marvin Webster Use this worksheet to organize your thoughts before developing a differential diagnosis list. 1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 3914862 Report generated on 5/14/2026, 10:46:44 AM America/Denver Management Plan by Makayla Bowens on case Marvin Webster Pharmacologic Care: Acetaminophen (Tylenol) doses should be 325mg between 1-2 tablets every 4-6 hours for fever, headache, and potential body aches. Another medication to help patient will be Mucinex, Mucinex (Guaifenesin) 600mg or 1200mg tablets are taken every 12 hours. Maximum dosing for 24 hours is 2400mg. Mucinex will help break up mucus in chest, making cough more productive (Mettleman, 2021). Give Dextromethopran HBr + Guifenesin 20mg/400mg 20mL PO every 4 hours as needed for dough. Maximum dose 6 doses/day (Gao et al., 2025). Rationale: Rationale: Alternating between Ibuprofen and Tylenol to help with headache. Acetaminophen (Tylenol) doses should be 325mg between 1-2 tablets every 4-6 hours for fever, headache, and potential body aches too (Mettelman, 2021). Pt will not be required to take Tamiflu because onset of symptoms have been more than 48 hours (Gao et al., 2025). Mucinex treats influenza-related congestion by thinning and loosening mucus in the chest, making coughs more productive (Mettleman, 2021). Referrals: No referrals needed, recommended following up with primary care provider to let them know patient was seen at clinic. Supportive Care/Patient Education: Increase fluid intake to stay hydrated (Gao et al., 2025). Rest, not allowed to go to class and note added for fever free x48 hours. Get plenty of sleep to help your immune system fight the virus (Goldman, 2025). Rest and hydration are key components in getting over the flu (Gao et al., 2025). Covering mouth and nose when coughing/sneezing can decrease spread of infection. Symptom management is the most important part of treating Influenza, treating the cough and fever with medications is important. Rest/hydration. Another important part of treatment is knowing when to seek emergency care, patient should report to the emergency department if develops shortness of breath, chest pain, difficulty breathing, increased lightheadedness/dizziness (CDC, 2026). Primary prevention with vaccination is the most effective way to prevent Influenza and the most effective intervention. Vaccination is recommended for everyone >6 months (Goldman, 2025). Educate patient that he does not meet criteria for Tamiflu d/t onset of symptoms being greater than 48 hours. Offer education on treatment of symptoms (Goldman, 2025). Follow Up: No
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