Question

In: Nursing

Mr. C comes to the neighborhood wellness clinic where you are doing a clinical rotation. He...

Mr. C comes to the neighborhood wellness clinic where you are doing a clinical rotation. He shows you some pills and tells you his physician told him to take them for an allergy but that he does not like how they make him feel. He explains, “I always have a runny nose, and the doctor told me I’m allergic to my dog. I won’t get rid of my dog; I just love him too much. The doctor gave me these pills; I can’t afford any pills on my own. But these pills make me sleepy during the day, and I always have a dry mouth. When I told the other nurse about these problems, she told me what to do, but I forgot what she said. Can you help me? I need to take these pills.” You identify the pills as diphenhydramine. He has the following questions:

Please answer the following questions pertaining to this Case Study.

Question 1: Do all drugs used to treat an allergy-induced runny nose make a person drowsy during the daytime?

Question 2: What suggestions can you offer Mr. C for coping with the side effects of diphenhydramine?

Expert Solution

1. No

Second generation anti histamines are non sedative.

Antihistamines are classified into two groups

1. first-generation (sedating)

2. second-generation (non-sedating).

Sedation is rare with non-sedating antihistamines.Second-generation antihistamines are more lipophobic and there is no CNS and cholinergic effects

eg: cetirizine, desloratadine, fexofenadine, levocetirizine and loratadine

2. diphenhydramine- Side effects

Diphenhydramine is an antihistamine that reduces the effects of natural chemical histamine in the body.

Side effects are

Causes drowsiness, dry mouth, constipation, stomach upset, blurred vision.

Suggestions

1. This medication may cause blurred vision and may impair your thinking or reactions. So after taking medicines.

Avoid alcohol

Avoid driving

Avoid swimming

2 Advice continues intake of the drug for drug tolerance.

3. For dry mouth suggest frequent sip of liquids or use of sugar-free cande.

Nightingale answered 2 years ago

You are doing a rotation in the hospital's clinical laboratory. A sample of cloudy crebrospinal fluid...

You are doing a rotation in the hospital's clinical laboratory. A sample of cloudy crebrospinal fluid (CSF) from a suspected meningitis case arrives and you are told to Gram Stain it, and then to plate it on blood agar and chocolate agar. In the Gram stain you find gram-negative rods of varying size and shape, there is no evidence of diplococci. Colonies were observed on both the blood and chocolate agar plates. Later, the charge nurse tells you that the...

. While doing a clinical rotation through a psychiatric mental health facility, you are assigned to...

. While doing a clinical rotation through a psychiatric mental health facility, you are assigned to a client who is in the manic phase of bipolar disorder. a. How prevalent are bipolar disorders in the United States? b. What are the signs and symptoms of bipolar disorder? How do you think you would react to a client in a manic state? How would your approach to a manic client be different from your approach to other clients?

A 48-year-old woman comes to the clinic for a routine wellness checkup. In speaking with the...

A 48-year-old woman comes to the clinic for a routine wellness checkup. In speaking with the nurse, the patient reports she has an intermittent aching feeling in her left lower abdomen and feels sluggish at times. She describes herself as a “couch potato” and says she gets a lot of exercise at her job and driving her sons to various activities. When the nurse palpates the abdominal area, the patient denies pain at the time but expresses that she is...

Describe a clinical nursing rotation situation where you were concerned (e.g., a higher incidence of falls,...

Describe a clinical nursing rotation situation where you were concerned (e.g., a higher incidence of falls, infections, errors, etc.) and where decisions were made to improve the situation. What sources of evidence were utilized to make the decision (e.g., personal experience, expert advice, etc.)? Please answer with opinion/personal experience...

Mr 8 comes into your community health clinic with a large weeping ulcer on the malleolus...

Mr 8 comes into your community health clinic with a large weeping ulcer on the malleolus of the right foot that he claims is not painful. He has 2+ edema in both feet. VS within normal limits. Lab results are remarkable for a WBC OF 12,300/mm3. He states that is occupation is a collector in a toll booth, he stands most of the time and he reports often working 10 and 12 hour shifts. He denies taking meds other than...

You are on a clinical rotation at a local hospital and are shadowing Nurses and hanging...

You are on a clinical rotation at a local hospital and are shadowing Nurses and hanging out at the nursing station. One of the nurses who had just came out of the restroom from his third or forth trip to the restroom collapsed at his desk. He has been looking very pale and has been losing weight. You run to get the attending physician. The physician took one look and said something that sounded like "see dif" to the nursing...

During your rotation in the clinic, you spend some time shadowing the orthopedist. During her clinic...

During your rotation in the clinic, you spend some time shadowing the orthopedist. During her clinic session she sees 2 different patients, one male and one female who have been diagnosed with osteoporosis. What are some of the risk factors involved in patients who suffer from osteoporosis? Are there differences in how you approach the treatment of osteoporosis in male vs. female patients? Why?

John is a longtime patient in the practice where you work. Normally, he comes in once...

John is a longtime patient in the practice where you work. Normally, he comes in once a year for a routine physical, but lately (the last six months) he has been in three times, complaining of extreme fatigue and weight loss (he has lost 15 pounds over the last seven months). The attending physician ordered a standard ELISA-type human immunodeficiency virus (HIV) test, which came back negative. This was in January. He was supposed to come back in May for...

As you begin your clinical rotation, can you tell me what you expect from your clinical...

As you begin your clinical rotation, can you tell me what you expect from your clinical site?

.You are working at the UENR clinic and a 28-year-old student comes to the clinic complaining...

.You are working at the UENR clinic and a 28-year-old student comes to the clinic complaining of a headache and blurry vision. While obtaining assessment information, you discover his blood pressure to be 150/96mmHg. You continue to obtain assessment information and discover that he has been staying up late to get his assignments completed by drinking caffeinated energy drinks. A. What additional assessment data would you gather from this patient? B. What will be your priority plan of action?