1815: 10-year-male arrives at the emergency department (ED) after reporting a fever, left ear pain, and malaise that started three days ago and has worsened. The client's father reports that he was at a pool party a few days before the symptoms started. The child is alert and fully oriented. Warm to touch and reports that 'it hurts a lot.’ The left ear was slightly reddened with no drainage. Peripheral pulses were palpable. Lung sounds were clear. Reports no coughing or other symptoms. The child does not have any medical history. No known allergies. Current on all immunizations. Current weight is 33 kilograms (kg).

Blood Pressure 102/65 mm Hg

Temperature 101° F (38.3° C)

Heart rate 90/min

Respiratory rate 17 breaths per minute

Oxygen saturation 97% on room air

• Ceftriaxone 50 mg/kg, intramuscular (IM) 
• Acetaminophen 10 mg/kg, by mouth (PO)