NR511 Week 3 Case Study Part 2 - Case Study Part 2 Dr Norton and class 1 What is your primary(one diagnosis for this patient at this time(support the

NR511 Week 3 Case Study Part 2 - Case Study Part 2 Dr...

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Case Study Part 2 Dr. Norton and class, 1.What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives fromthe case) 2017). Allergic conjunctivitis is most commonly seasonal and often associated with patients with a history of atopic dermatitis, hay fever, or asthma. Even though this patient denies a history of atopic dermatitis, hay fever, or asthma, this patient has a history of seasonal nasal allergies. Given his recent move to Illinois for school, there is a potential for new allergens that he is exposed to. 2.Identify the corresponding ICD-10 code. 2019). 3. At this time, I would prescribe the following medications: Cetirizine (Zyrtec) 10 mg Disp# 30 Sig: 1 tab by mouth daily RF: PRN According to Mounsey & Gray (2016), clinical guidelines for the management of allergic conjunctivitis support the use of antihistamines and mast cell stabilizers, either
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alone or as a combination regimen. Antihistamines are highly effective and safe in treating patients with allergic conjunctivitis. Fluticasone nasal spray (Flonase) 50 mcg per actuation Disp# 1 unit (oz) Sig: 1 puff in each nostril BID (maximum of 2 puffs/actuation in each nostril per day) RF: PRN Decongestant and corticosteroids are widely used to provide effective treatment in alleviating signs and symptoms of allergic conjunctivitis (Leonardi, Castegnaro, Valerio, & Lazzarini, 2015). The active ingredient in Flonase is fluticasone propionate, which is a corticosteroid. Therefore, this type of nasal spray may help relieve symptoms of watery eyes, nasal congestion, and runny nose. Visine-A (pheniramine/naphazoline) Ophthalmic Solution OTC Disp# 0.5 oz Sig: 1-2 gtts each eye Q6H PRN Do not exceed over 2 weeks RF: PRN An adjunct therapy to resolve symptoms of allergic conjunctivitis include the combination of an antihistamine and decongestant in eye drops (Moroney, 2018).
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  • Spring '19
  • Allergy, Allergic conjunctivitis

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