WN is a 54 year old female who complains of symptoms of a “c…
WN is a 54 year old female who complains of symptoms of a “cold” at your clinic today. She’s the local YMCA swim coach and she’s hoping to feel better for next weekend’s swim meet. She has allergic rhinitis chronically, though lately she’s had nasal congestion with purulent nasal/postnasal discharge (yellow in color) and a cough. She complains of pressure in her face and her ears feel like they need to “pop.” She’s had symptoms for 12 days now with little to no improvement and a fever (102.1° F) for the last 24 hours. WN has an allergy to sulfa drugs, cats, and environmental allergies. Her PMH is significant for asthma, hypertension and multiple dental infections / procedures. Her medications include Fluticasone / Salmeterol (Advair Diskus) 250mcg/50mcg one inhalation twice daily, albuterol (Ventolin) HFA 2 puffs as needed for shortness of breath and lisinopril (Zestril) 20 mg by mouth daily. She reports an allergy to sulfa medications. Which of following regimens would be the best choice to treat her ABRS?
Read DetailsA 45-year-old female presents to the clinic with complaints…
A 45-year-old female presents to the clinic with complaints of severe pain in her lower back, radiating down her left leg. She describes the pain as burning and shooting, with occasional numbness and tingling. Physical examination reveals decreased sensation in the left L5 dermatome and diminished reflexes in the left lower extremity. Based on these findings, the nurse practitioner suspects lumbar radiculopathy. Which of the following medications would be the most effective for managing the patient’s neuropathic pain?
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