OTC
Headache
Therapeutic Principles of Self-Care Leticia Shea, PharmD, MS, BCACP
iRAT Password
T-RAT Password
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
CHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
CHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Kahoot (Joe)
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
What if she already gave him 81mg of aspirin?
Symptoms of Reyes Syndrome?
What symptoms are suggestive of Reyes Syndrome? (Select all that apply)
B. Mental Confusion
A. Vomiting
D. Mild Fever
C. Lethargy
What if she already gave him 81mg of aspirin?
Symptoms of Reyes Syndrome?
What symptoms are suggestive of Reyes Syndrome? (Select all that apply)
A. Vomiting
B. Mental Confusion
D. Mild Fever
C. Lethargy
Next Steps
Headache with high fever next steps
Key Steps
Recommend acetaminophen or ibuprofen for fever relief. Counsel on age/weight-based dosing. Educate Patricia on why aspirin is unsafe for kids with flu-like symptoms.
Recommend acetaminophen or ibuprofen and refer for evaluation for antiviral therapy.
Educate Patricia as to why aspirin is unsafe in children with viral infections.
Counsel Patricia about weight-based dosing for ibuprofen or acetaminophen
OTC medication?
Counsel
Educate
Break!
5 minutes
Characteristics
"He’s been lying on the couch, very tired, says his head hurts." Lethargic Fatigue No rash, but warm to touch. He is able to sip water and juice but does not have any hunger.
Aggravating Factors
He says he feels worse if he has to move.
Onset
Symptoms started suddenly yesterday afternoon. He seemed fine in the morning when he went to school, but was feverish and sick at pick-up.
Symptoms
- Fever (reported 102.5 F)
- Headache
- Fatigue
- Sore throat
- Cough
- Rhinorrhea
Remedies
- Popsicles
- Orange juice
- Water and ice
Location
Headache, generalized body aches, mild upper respiratory symptoms (rhinorrhea, cough)
History
Symptoms started ~24 hours ago. No recent meds taken. He was administered the Influenza and COVID vaccines last year but has not yet received this year’s vaccinations. Allergies well controlled on current treatment No known allergies to medication
Headache
Leticia Shea
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Transcript
OTC
Headache
Therapeutic Principles of Self-Care Leticia Shea, PharmD, MS, BCACP
iRAT Password
T-RAT Password
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
CHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
CHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
Kahoot (Joe)
Joe: Headache and Fever
Practice SCHOLAR to support safe self-care
A concerned mother, Patricia, approaches the pharmacy counter holding a bottle of baby aspirin (81 mg chewables). She says: "Hi, I need something to help my son Joe feel better. He has a fever and headache that started yesterday, and he’s just miserable. I’m getting this baby aspirin because that’s what my mom gave me when I was a kid."
SCHOLAR
What if she already gave him 81mg of aspirin?
Symptoms of Reyes Syndrome?
What symptoms are suggestive of Reyes Syndrome? (Select all that apply)
B. Mental Confusion
A. Vomiting
D. Mild Fever
C. Lethargy
What if she already gave him 81mg of aspirin?
Symptoms of Reyes Syndrome?
What symptoms are suggestive of Reyes Syndrome? (Select all that apply)
A. Vomiting
B. Mental Confusion
D. Mild Fever
C. Lethargy
Next Steps
Headache with high fever next steps
Key Steps
Recommend acetaminophen or ibuprofen for fever relief. Counsel on age/weight-based dosing. Educate Patricia on why aspirin is unsafe for kids with flu-like symptoms.
Recommend acetaminophen or ibuprofen and refer for evaluation for antiviral therapy.
Educate Patricia as to why aspirin is unsafe in children with viral infections.
Counsel Patricia about weight-based dosing for ibuprofen or acetaminophen
OTC medication?
Counsel
Educate
Break!
5 minutes
Characteristics
"He’s been lying on the couch, very tired, says his head hurts." Lethargic Fatigue No rash, but warm to touch. He is able to sip water and juice but does not have any hunger.
Aggravating Factors
He says he feels worse if he has to move.
Onset
Symptoms started suddenly yesterday afternoon. He seemed fine in the morning when he went to school, but was feverish and sick at pick-up.
Symptoms
Remedies
Location
Headache, generalized body aches, mild upper respiratory symptoms (rhinorrhea, cough)
History
Symptoms started ~24 hours ago. No recent meds taken. He was administered the Influenza and COVID vaccines last year but has not yet received this year’s vaccinations. Allergies well controlled on current treatment No known allergies to medication