Advanced Pharmacology
ID Homework
Name: Brandy
WU ID #: 20017650
Schnacker
__BS___ I hereby certify that the work submitted is
my own, and that I have not plagiarized or violated
any terms of the WU School of Nursing’s Classroom
Integrity Policies.
E-mail:
brandy.schnacker@washburn.edu
NOTE: You must insert your
initials in the area of the line on
the right
Case Study
NH is a 21 year old college student who presents to the student health clinic with a 2 day
history of a “sore throat”. She rates her pain as “moderate”, but it has left her unable to
sleep fitfully or to eat or drink very much. She says that he just got over a cold, but
currently has no symptoms of nasal congestion or rhinorrhea. Her past medical history is
unremarkable. Physical examination of the throat reveals an erythematous pharynx with a
small amount of exudate covering the left tonsil. A rapid strep test is positive. You
diagnose her with streptococcal pharyngitis and decide that a prescription for an
antibiotic is appropriate.
Question 1 - What information do you want to get from CS prior to writing the
prescription for the antibiotic? Be brief! (3 points)
Do you have any allergies?
Do you have means for purchasing this antibiotic?
What medications have you taken for you cold previously?
Have you been running a fever?
With swallowing, what is the size of a bite of food that you can swallow?
Are you on any birth control?
Have you taken any pain medications in the past, if so you what were they? Were they
helpful or not?
Question 2 - Using the prescription blank below, write a prescription for an appropriate
antibiotic for this condition. (10 points)
Drs. Boke and Tsukomi
Manzai Primary Care Associates, Inc.
1020 Wellness Road
Resume Speed, KS
(913) 123-4567
Name
NH
Date January 28, 2011
Address 1001 SW 8th St.
City/State/Zip Topeka, KS 66606
Age/Wt
21 / 146
Rx
Penicillin V
250mg Tablets
1 tablet po Q8hrs for 10 days
Brandy Schnacker
Dispense as Written
Substitution Permitted
Refills NO
DEA # 1166554
Question 3 - What drug information will you provide to this patient? Be brief! (5 points)
Make sure you take this medication on an empty stomach and with a full glass of
water.
Side effects that might occur are: skin rash, itching, hives, nausea, vomiting, severe
diarrhea, swollen joints and/or black tongue. If any arise contact this office
or if after office hours contact an ER or a prompt care.
Make sure that you take all of your antibiotics from start to finish.
Please remember that while on antibiotics that the antibiotic will decrease the
effectiveness of the birth control, this could make you more susceptible to
becoming pregnant.
Question 4 – What are you going to prescribe for pain relief? (3 points)
I would start out with Ibuprofen and/or Tylenol first for pain. However, she is still
having “moderate” pain. I believe that if Ibuprofen or Tylenol has not help the pain in
the past then I would prescribe her the following prescription for pain relief.
Drs. Boke and Tsukomi
Manzai Primary Care Associates, Inc.
1020 Wellness Road
Resume Speed, KS
(913) 123-4567
Name
NH
Date January 28, 2011
Address 1001 SW 8th St.
City/State/Zip Topeka, KS 66606
Age/Wt
21 / 146
Rx
Lortab 2.5/325mg
1-2 tabs po Q6 hours as needed for
Pain
Quantity 20 Tabs
Brandy Schnacker
Dispense as Written
Substitution Permitted
Refills NO
DEA # 1166554
Question 5 - CS questions why you aren’t going to prescribe a Z-Pack? Her boyfriend
had a similar episode of acute bronchitis with a sore throat a week ago and just recently
finished a “Z-pack”, which, incidentally, really cut into his monthly “beer money”---but,
I digress). Explain to this patient why you feel that a “Z-Pack” is unnecessary (you DO
believe that, don’t you???). Be succinct, but convincing. (4 points)
A “Z-pack” is used for a different type of bacteria. The bacteria that came back
from your test are best treated with the Penicillin V that I prescribed for you.
REFERENCES
Edmunds, P. A., Mayhew, M. A., & Bridgers, P. C. (2004). Pharmacology for the
primary care provider. St. Louis: Mosby Elsevier.
Gilbert, M. D., Moellering, J. M., Eliopoulos, M. G., Chambers, M. H., & Saag, M. M.
(2010). The sanford guide to antimicrobial therapy 2010. Sperryville:
Antimicrobial Therapy Inc.