Case studies to address

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #2 using Schedule II substances.

Mary is 52-year-old female with HTN on Lisinopril 40mg and well controlled. She comes to the office because she has had a sore throat for several days, which is found to be strep negative. She has no fever or cough. What should you recommend for her sore throat and stuffy nose and why? What precautions should you give her regarding over-the-counter medication because of her medical history and why?

Astrid is an 18-year-old Asian female. She is a college freshman and recently went to a party where she had alcohol for the first time. She describes to you “horrible” side effects of facial flushing, nasal congestion, and dizziness. She is convinced she was “drugged.” With what you know about pharmacokinetics and racial differences, how can you help her understand the reaction she had to alcohol? What important education points do you need to provide and why?

John is an 82-year-old male patient with multiple chronic health issues, including mild dementia. He is a well-established patient, but you are seeing him for the first time. He needs all his medications refilled. He cannot remember the names of his medications. The provider who saw him three months ago reconciled his medication list. Is it safe to rely on your colleague’s chart notes? What steps can you take to ensure safe medication prescribing? What are the standards of medication reconciliation by the APRN?