What would be the most reasonable treatment plan for child


Problem: A 6-year-old boy presents with fever to 102 degrees and coughing for 3 days. He is not eating well but is drinking and urinating normally. On physical exam, the child is not toxic and appears comfortable. He has rales in his right upper lobe without wheezing, retractions, or tachypnea. A CBC with differential reveals a WBC count of 18,000 with a left shift. His past medical history includes mild persistent asthma, well controlled on inhaled corticosteroids (Flovent) used daily and albuterol (Ventolin) when needed for wheezing. He has not needed albuterol during this illness and his pulse oximetry is 96%. What would be the most reasonable treatment plan for this child?

 

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