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?

Solutions

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 1 year ago

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