Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies. In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally. Is there any additional subjective or objective information you need for this client? Explain. Would you treat Mr. JDs cold? Why or why not? What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

Week 3 discussion pharmacology | Nursing homework help

  1. Other subjective and objective information is required:
    • To assess for any conditions or medication that could affect treatment, past medical history
    • The severity and duration of the symptoms
    • Other symptoms such as chest pain, breathlessness, or wheezing may be present.
    • An allergy history is needed to determine whether there are any medication allergies.
    • Smoking history
  2. Treatment of Mr. JD’s cold: Based on the information provided, it appears that Mr. JD may have a bacterial sinus infection. Although the final decision on whether to treat is ultimately up to your healthcare provider, treatment might be recommended if you have symptoms that last more than 7-10 days and if they interfere with your everyday activities.
  3. Prescription for Mr. JD’s bacterial sinus infection:
    • Types of antibiotics
    • Mechanism of Action: Blocks bacteria growth and replication
    • Oral Route
    • Half-life: It varies depending on what medication was prescribed
    • Metabolism and elimination: It all depends on what medication was prescribed.
    • Contraindications
    • Warnings about black boxes: These vary depending on which medication is being used

It’s important to note that the specific medication, dose, and duration of treatment will depend on various factors, such as the severity and duration of symptoms, patient’s medical history, and potential drug interactions. Only licensed healthcare providers can prescribe medication and recommend the best treatment.

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