Part B: Justification and Critical discussion (1200 words MAX) NB: This section needs to adhere to an Academic essay format and therefore requires an introduction and conclusion. References are...

Part B: Justification and Critical discussion (1200 words MAX)
NB: This section needs to adhere to an Academic essay format and therefore requires an introduction and conclusion. References are required to be in APA format. For help with writing an academic essay please click this link 'Academic Essay' or see the ALC (Academic Learning Centre) for assistance.
Instructions:
You are required to justify and critically discuss the administration of this medication for treatment of your disease/illness in your chosen case study. Therefore this means if you choose Case study 1, you need to discuss why administration of Trimethoprim is appropriate in the treatment of urinary tract infections (UTIs). Eg: What evidence supports the administration of trimethoprim for treatment of UTIs? What are the main causes of UTI that would suggest trimethoprim would be appropriate? What local guidelines exist etc. Suggested word length for this section: 500-600 words.
You are also required to critically discuss how applicable this protocol is in administration of this medication to your patient. As you are aware protocols need to fit with the patient. Therefore, you need to justify and discuss how this protocol is or is not applicable to your patient. You need to consider cultural and teaching aspects eg: the section of your drug protocol titled 'Patient Advice & Education' may guide your discussion for this secion: eg if your patient education and advice includes a pamphlet, then you need to discuss whether or not this pamphlet would be appropriate taking into account the patient's culture or background. Is it educationally appropriate for the age of the patient? What additional considerations would you need to consider? In your discussion as well you may need to consider the laboratory testing and or other medications prescribed that may be supplied in your case study. These are only suggestions to be used as a guide. Suggested word length for this section: 500-600 words.
Total word count for both sections of Part B = 1000 - 1200 words.






Case Study 3: Drug Protocol for administering paracetamol for treatment of a fever in children
You are caring for a 5 year old boy with Down syndrome (trisomy 21) by the name of Robert Small. He lives with both parents and one older sibling, a sister who is 8 years old. As a result of his Down syndrome, Robert has a congenital heart defect, and has difficulty with speaking clearly, but is able to understand most things for his age despite his learning and intellectual difficulties. He presented to the emergency department with a fever 38.5 which comes and goes for the past 2 - 3 weeks. All other observations are within normal limits for Robert. On presentation Robert was quite lethargic, irritable, and reluctant with food but tolerating small amounts of fluid. His source of his fever is unknown despite several visits to both his local general practitioner and paediatrician previously. His mother is quite anxious and asking lots of questions when Robert is admitted to the ward. Robert weighs 20 kgs. He is on no other medications currently except for the Paracetamol PRN prior to admission to the ward.
The Doctor has prescribed 300mg paracetamol 4-6hrly PRN (as required) for the fever and regular 4 (four) hourly observations.
He has also been prescribed an antibiotic but this is to be given after urine for culture (MSU), blood tests: FBC (Full blood count), and blood cultures have been collected.