List specific goals for treatment for G.B.

G.B. an 18-year-old African American female college student, lives on campus with three other students. Her home is approximately 100 miles away. She has been at college since the beginning of the fall semester, approximately 2 weeks. She presents today with a chief complaint of fits of sneezing (sometimes 10 in a row); a runny, itchy, stuffy nose; and red, tearing eyes. Her temperature is 99°F; blood pressure is 118/78. She denies cough and headache. Her chest is clear. Her past medical history is unremarkable, except for “hay fever” when she was younger, which she “outgrew” during high school. These symptoms are the same. She is having difficulty studying because of the sneezing and itching nose, and she is embarrassed to be in class with these symptoms. She was nervous about meeting the challenges of college and making new friends. Her local physician prescribed lorazepam (Ativan) 1.0 mg as needed for stress, anxiety, or both. So far, she has taken two doses of a prescription for 30 tablets.

1. List specific goals for treatment for G.B.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter and/or alternative medications would be appropriate for G.B.?

8. What lifestyle changes would you recommend to G.B?

9. Describe one or two drug-drug or drug-food interaction for the selected agent

 

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