Your patient calls and is worried because his antihistamine has not… Your patient calls a

Your patient calls and is worried because his antihistamine has not… 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?Antihistamines can be used for mild allergy symptom relief such as rhinitis, itching and localized edema. These symptoms are caused by an activation of histamine-1 receptors; thus, an antihistamine drug works by blocking these receptors and controlling the symptoms (Rosenthal & Burchum, 2021). Since the patient’s hives are not clearing, it could be possible that his symptoms are caused by a nonallergic histamine release. This happens when agents that are not allergens act directly on mast cells and trigger a histamine release (Rosenthal & Burchum, 2021). It would be important to know what medication he took, how long ago he took the drug and possible allergen causes to determine the next course of action.  2. Your patient works at a garden nursery and has seasonal allergies. Which antihistamine do you recommend while working, Benadryl or Claritin?Both of these antihistamines are H1 antagonists which can further subdivided into two categories: first-generation H1 antagonists (ie. Benadryl/Diphenhydramine) and second-generation H1 antagonists (ie. Claritin/Loratadine) (Rosenthal & Burchum, 2021). The main difference between these two subgroups of antihistamines is that drugs in the first-generation category are highly sedating while second-generation drugs cause little to no sedative effects (Rosenthal & Burchum, 2021). For this reason, the patient should take Claritin while working in order to remain alert and avoid CNS depression and sedative effects.  3. A patient presents at the clinic with s/s of Guillain-Barre Syndrome, which vaccine may be associated with this condition?Since 1976, associations have been made between the influenza vaccine and Guillain-Barre Syndrome (GBS) (Perez-Vilar, et. al, 2020). The Vaccine Safety Datalink (VSD) found an increased risk of GBS during days 1-42 after the 2018-2019 high-dose influenza vaccine known as IIV3-HD (Perez-Vilar, et. al, 2020). This influenza vaccine was approved for use by the FDA in 2009 and is known to contain 4 times more influenza hemagglutinin antigen than standard-dose influenza vaccines (Perez-Vilar, et. al, 2020). In this particular study it is also noted that the FDA found a slightly elevated GBS risk in patients who received the IIV3-HD vaccine during the 2015-2016 and 2016-2017 seasons, although they concluded that the benefits of influenza vaccines heavily outweigh the potential for GBS risks (Perez-Vilar, et. al, 2020)4. A patient is diagnosed with Scabies, she asks if an OTC medication like RID will work. What is your response?According to the Centers for Disease Control and Prevention (CDC), there are currently no approved OTC products for the treatment of scabies. Medications used to treat scabies are known as scabicides and require a prescription. Scabicides such as permethrin or sulfur ointment are prescription lotions/creams that are applied all over the body from the neck down (infants require their heads to be done as well) in order to kill scabies mites (CDC, 2018).  5. The patient is allergic to Sulfa drugs, how will this affect the medication choice for Herpes?Since Herpes is a virus, the drug treatment used would be antiviral medications such as Acyclovir, Valacyclovir or Famciclovir (Rosenthal & Burchum, 2021). Since antivirals are not sulfonamide drugs, the treatment course would not be affected by the patient’s sulfa allergy. 6. You are considering prescribing Penicillin for your patient, what is extremely important to assess first and why?Allergies to medication and patients’ exact reactions are always important to know when prescribing drugs to a patient. According to our textbook, penicillins are the one drug family responsible for most of all serious allergic reactions (Rosenthal & Burchum, 2021). In the inpatient setting, it was found that up to 15% of inpatients report a penicillin allergy during hospital admission (Blumenthal, et. al, 2017). However, after further research, it was found that 95% of patients with a reported penicillin allergy were found to tolerate both penicillin and cephalosporin antibiotic treatments (Blumenthal, et. al, 2017).Needs a peer response from a student nurse pracitioner’s point of view with references Health Science Science Nursing NURSING MSN 571 Share QuestionEmailCopy link Comments (0)

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