If you are considering prescribing Penicillin for your patient, what is extremely important to assess first and why?

Pharmacology-Primary Care Medication Management

Your patient calls and is worried because his antihistamine has not taken away the hives he broke out with today. What do you tell him?

I would tell them that they might not be working because he is repetitively being exposed to the allergens. It is advisable to stay away from allergens when using medications. Additionally, the antihistamines may not be working because he is on another drug whose side effects include hives, for example, penicillin use in a penicillin-allergic patient. To eliminate this possibility, another combination of medications may be prescribed, the allergen-causing medication discontinued, or doses of the present antihistamine medication increased to manage the situation. Hire our assignment writing services in case your assignment is devastating you.

Your patient works at a garden nursery and has seasonal allergies. Which antihistamine do you recommend while working, Benadryl or Claritin?

I would recommend Claritin because it has minimal sedative effects as compared to Benadryl (Randall & Hawkins, 2018). The dose can also be taken once every day, minimizing the necessity to intake medications every time. To add on, fewer effects of drowsiness are felt by patients with the use of Claritin.

A patient presents at the clinic with s/s of Guillain-Barre Syndrome; which vaccine may be associated with this condition?

An Influenza vaccine is associated with the symptoms of Guillain-Barre Syndrome (GBS) (Babazadeh et al., 2019). Research has shown that this vaccine impairs the sensory, autonomic, and motor nerves for some days. Therefore, a patient will present with symptoms such as loss of sensations and muscle weakness for some time.

A patient is diagnosed with Scabies; she asks if an OTC medication like RID will work. What is your response?

RID is effective in the treatment of Scabies. Since Scabies are caused by tiny small insect-like animals called mice, RID cream paralyzes these mites and kills them. To effect the therapy, these medications are applied to the body and hair.

The patient is allergic to Sulfa drugs; how will this affect the medication choice for Herpes?

It will affect medication because all the sulfonamide antibiotics have to be avoided during prescription. This helps to minimize adverse reactions from sulfa medications. Antimicrobial sulfonamides are considered very effective in the suppression of Kaposi Sarcoma Herpes Virus and permanently treating Herpes (Angius et al., 2017). When it is overthrown, then there is the likelihood of disease re-occurrence.

It is important to first assess if the patient has any drug allergies. This gives a hint if the patient is allergic to Penicillin. This is because of the adverse effects that are likely to arise with the use of penicillin medication in a patient who is allergic. The side effects of allergic reactions include hives and rashes.

References

Angius, F., Piras, E., Uda, S., Madeddu, C., Serpe, R., Bigi, R., … & Ingianni, A. (2017). Antimicrobial sulfonamides clear latent Kaposi sarcoma herpesvirus infection and impair MDM2–p53 complex formation. The Journal of Antibiotics, 70(9), 962-966.

Babazadeh, A., Afshar, Z. M., Javanian, M., Mohammadnia-Afrouzi, M., Karkhah, A., Masrour-Roudsari, J., … & Ebrahimpour, S. (2019). Influenza vaccination and Guillain–Barré syndrome: Reality or fear. Journal of translational internal medicine, 7(4), 137.

Randall, K. L., & Hawkins, C. A. (2018). Antihistamines and allergy. Australian prescriber, 41(2), 41.