A 25-year-old client is seen in the emergency room for abdominal pain. The nurse obtains the following information from the health history: married, nulliparas, denies prescription or over-the-counter medications or use of oral or barrier contraceptives, pain is unilateral, last menses was one (1) month ago. What is the next best action of the nurse? […]
Joe L. a 65 year old male requests Viagra (PDE-5 Inhibitor) due to difficulties with erectile dysfunction. Past Medical History (PMH) includes: Angina, hypertension currently well controlled and Type 2 Diabetes Mellitus well controlled. Medication list includes Imdur (long-acting nitrate) 60 mg daily, sublingual Nitroglycerin 0.4mg (Nitrate) prn, metoprolol (Beta-blocker) 50mg twice daily, Lisinopril (ace […]
Joan J. is a 42 year-old female who presents to the clinic with heartburn. She has self-treated with over-the-counter Tums antacids for the past month without relief. She is interested in starting other therapy and indicates she would like something that “works fast as she will be traveling for business. You decide to step up […]
Mohamed H., age 37 years, tests positive for H. pylori. He has been experiencing mild to moderate upper abdominal pain, nausea and heartburn. You elect to treat him for 10-14 days. He has no mediation allergies. The most common therapy used is: • Triple therapy including a PPI, Amoxicillin (PCN) and clarithromycin (Macrolide) O Quadruple […]
Sheila B. age 30 presents to the clinic with complaint of classic migraine headache, which she describes as moderately severe. She first developed migraines in her teen years and they have worsened as she has gotten older. She has been using ibuprofen, aspirin, acetaminophen and aspirin plus caffeine 2 to 3 times per week for […]
Sarah W. has been using oral Imitrex (Sumatriptan) for management of migraine headaches. She reports
Sarah W. has been using oral Imitrex (Sumatriptan) for management of migraine headaches. She reports nausea early in course of migraine, so doesn’t always take the Imitrex right away or breaks a tablet in half so it won’t upset her stomach. You are worried about treatment failure. All of the following are factors contributing to […]