advanced Pharmacology

*** Please write 1.5- 2 pages for the case study below with 2-3 references from reputable sources. References have to be the lastest and up-to-date, nothing older than 5 years.***

Penny is an 8-month-old girl who is brought in by her parents because of fever and fussiness. Her appetite is poor and she refuses to eat or take most fluids. On physical examination, she has a bright red right TM, dull without mobility or landmarks. Her left TM is pearly gray and mobile. She has yellow nasal discharge; cervical adenopathy and chest clear to auscultation. Her diagnosis is right otitis media.  I have ordered prescription (Rx) medications for Penny, ranking from first to third choice.

Rx 1st choice: observation for 72hrs and ibuprofen for pain/fever, 2nd choice: Amoxicillin, and 3rd choice: Augmentin, if allergic to penicillin then Cefdinir

Please explain the indication and contraindications of the drug(s). Please also list the prices of the Rx drugs to treat the problem from two different pharmacies. (example: goodrx.com, Costco, CVS)

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