WC NURS676 Week 6 Discussion Latest 2022 July
NURS676 Advanced Pharmacology
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Week 6 Discussion
In the subject line of your posts, please identify which prompt you are responding to, for example, prompt #2.
Melissa?is a 31-year-old recently married female who presents to your office for an annual visit.?She has three children ages 2, 5, and 8. Her new husband wants to wait at least a year before they try to have a child of their own. She has used combined oral contraceptives (COCs) for more than 10 years. Since the birth of her last child, she has been using?COCs?intermittently. She finds it too difficult to remember to take the pills regularly and wants an easier method. Menses are regular, although her periods seem heavier than usual, and she gets more irritable when she is not taking the?COCs. She rarely exercises and admits to smoking and drinking occasionally. She is overweight. She has no medical history. What additional information do you need to obtain? Discuss her options and provide evidence for your rationale. Include patient education in your discussion. ?
Bridget?is 16-year-old female who comes to the clinic for a sports physical with her mom. When her mom leaves the room during the examination, Bridget asks for a prescription for birth control. She requests that you do not tell her mother. Bridget is healthy with no allergies. She is at the 50th percentile for body mass index (BMI). Her blood pressure is 112/68 mmHg, and her examination is normal except for mild acne on her face and upper chest. What is Bridget’s initial treatment plan? What is the legal age in your state when adolescents can self-consent for contraception? What education does she need?
Javier is a 54-year-old male who comes to the clinic with his fifth gout flare this year. He presents with a red, warm, swollen big toe to his right foot. His only other medical history is that he has hypertension that has been controlled by hydrochlorothiazide 25 mg daily. He states the pain is a 5 out of 10. How would you treat his gout exacerbation? Is there anything you can do to help prevent future occurrences? What education does this patient need? Discuss your treatment plan and which clinical guidelines you used to help develop you plan.
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