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Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment...

Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment for her acne. Her only medication is Ortho Tri-Cyclen Lo. The physician writes Ms. Lopez a prescription for doxycycline (Doryx) 150 mg once daily.

What should the nurse tell Ms. Lopez about taking oral contraception with Doryx?

What adverse reactions should the nurse discuss with Ms. Lopez?

How should the nurse tell Ms. Lopez to take the Doryx?

Solutions

Expert Solution

It is the reponsibility of a nurse to educate a person and provide a detailed description regarding the indications,usage,side effects of tab doxycycline and its adverse reaction when using along with oral contraceptive pills.

1) The nurse should explain to Ms.Lopez about the ill-effects of consumption of oral contraceptive pills along with Doryx. When both tablets taken together, tab doxycycline create changes in the body to the way in which it was responding to oral contraception. As a result, it may decrease effects of contraception and increase the risk of bleeding,spotting ,unintentional pregnancies. Hence it is mandatory to inform her not to take oral contraceptive pills ,as its function will be performed by tab doxycycline.

2) The most common adverse reaction seen in patients are mild diarrhea, vomiting, nausea,rash and anemia.

3) The doryx medication should be consumed orally empty stomach atleast an hour before and 2 hours after food.It should be take with 1 glass of water. She should not crush or chew the medication instead swallow the capsule completely. It is also advisible not to take calcium suppliments , antacids, laxatives and multivitamins along or within 2 hours before or after taking tab doryx.

Nightingale answered 1 year ago
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