NURS 6521 Week9 Assignment
Please complete all 4 scenarios
SCENARIO 1
Sarah Johnson is a 32–year–old pregnant female at 24 weeks gestation. PMH consists of hypertension x 3 years and acne treated with isotretinoin and spironolactone 50 mg po daily. She denies smoking and alcohol but drinks 3 cups of coffee per day. Lisinopril 10mg daily was discontinued due to pregnancy. She presents for a routine prenatal visit. Labs include Hgb 12.8, HCT 39.9, K 4.7, glucose 78, BUN 12, Cr 0.78. Her blood pressure is 150/95 mmHg, measured twice with a 5-minute interval. What treatment plan would you implement for Sarah? How would you treat her hypertension (include a complete medication order)? How would you monitor drug therapy and what is her goal blood pressure? NURS 6521 Week9 Assignment.
SCENARIO 2.
Lydia is a 24–year–old single female presenting with vaginal discharge for 1 week. She is sexually active and has had unprotected sex with a new male partner for the last month. Her gonorrhea culture is positive. This patient is allergic to sulfa drugs. What is the first line treatment for this patient? Other organism should you consider covering and why? What medication would you prescribe to cover this organism (include complete medication orders)? How long should Lydia abstain from sexual activity to prevent reinfection? patient education would you provide?
SCENARIO 3
Edgar is a 6-year–old boy seen in the clinic today. His mother states he woke up this morning with his right eye red and swollen with a crusty yellow discharge. He has been diagnosed with bacterial conjunctivitis of the right eye. The mother asks if this is the same as “pink eye”? Edgar is allergic to sulfa drugs, amoxicillin and penicillin. His current medications include montelukast 10mg chewable tablet qhs. What treatment plan would you implement for Edgar (include complete medication orders)? What education would you provide to the patient’s mother regarding his treatment?
SCENARIO 4
JT is a 3-year–old male that was seen 3 days ago for acute otitis media. He weights 15 kg. Utilizing the dosage calculator in Medscape, write a prescription for liquid amoxicillin. If the patient develops a rash and is presumed to have an allergy, what alternative antibiotic would you prescribe to treat his acute otitis media? What education would you provide his mother during this visit?
Solution: NURS 6521 Week9 Assignment
Scenario 1: Sarah Johnson – Hypertension in Pregnancy
Sarah Johnson, a 32-year-old pregnant woman at 24 weeks of gestation, presents with hypertension recorded at 150/95 mmHg.
Given her history of hypertension, she needs a treatment plan to control blood pressure and, therefore, reduce risks to her health and fetus. Furthermore, managing hypertension during pregnancy is crucial to preventing complications such as preeclampsia, placental abruption, or low birth weight (Gbala & Adegoke, 2021). Moreover, methyldopa serves as the recommended first-line treatment for Sarah since this antihypertensive medication is generally safe during pregnancy (Chandrasekaran, Badell, & Jamieson, 2022).
She will take methyldopa 250 mg orally twice a day, with the option to titrate up to a maximum of 1g per day based on her blood pressure response and tolerance. She must attend regular follow-up appointments to assess the medication’s effectiveness and make any necessary adjustments. There will be a need for having close monitoring of blood pressure at home to help track the progress and help in the identification of any concerning trends… (Download full solution by clicking the purchase button)
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