(GRADED) NR-511 Week 3 Discussion: Clinical Case Study Part Two Discussion (Initial Post, Responses)
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Course
NR 511
Institution
Chamberlain College Of Nursing
In Part 2 you will be given some additional history, exam and/or test findings. Using this information and the information in Part 1, answer the following questions: 1. What is your primary (one ) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent posit...
graded nr 511 week 3 discussion clinical case study part two discussion initial post
responses
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Chamberlain College Of Nursing
NR 511
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NR 511 Week 3 Clinical Case Study Part
Two Discussion: Initial Post, Responses
What is your primary (one) diagnosis for this patient at this time?
Diagnosis: Allergic conjunctivitis
Rational: Patient has a Hx of seasonal allergies and recently moved from Phoenix to central Illinois.
There may be different allergens in central Illinois compared to his hometown of Phoenix that could have
triggered his seasonal allergies that otherwise would only occur during the spring time. His symptom
presentation, in addition to his H&P, makes me strongly belief that this is the right diagnosis.
Pertinent positive findings:
Positive Hx of seasonal allergies, redness, itching, tearing and FB sensation in bilateral eyes, occasional
runny nose with intermittent nasal congestion (subjective findings); bilateral conjunctiva with diffused
redness, tearing, pale and boggy nasal turbinates with mild/moderate swelling, clear nasal discharge
(objective findings).
Identify the corresponding ICD-10 Code.
Allergic conjunctivitis H10.45
Provide a treatment plan for this patient’s primary diagnosis:
• Medication:
Olopatadine 0.1%
Disp: 1 bottle
Sig: instill 1 drop into both eyes two (2) x day for two (2) weeks
RF: 0
Rational: Second-generation antiallergic drugs, which have both anti-histaminic and mast-cell
stabilizing activities, are selected as first-choice drugs to treat allergic conjunctivitis (Mizoguchi,
Ozaki, & Ogino, 2017).
Fluticasone nasal spray
Disp: 1 bottle
Sig: use two (2) sprays in each nostril once (1) daily for two (2) weeks
RF: 0
Rational: Intranasal corticosteroids are the most effective treatments for rhinitis that is related to
allergic conjunctivitis (Gonzalez-Estrada & Newton, 2015).
Cetirizine 10 mg
Disp: #30
Sig: take one (1) tablet once daily
RF: 0
Rational: According to Patel et al. (2017), Cetirizine provides better relief allergy symptoms
compared to Loratadine.
• Any additional testing necessary for this particular diagnosis
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