Create a pharmaceutical treatment regimen for each of the following.
• 18-year-old female with positive with chlamydia and gonorrhea exposure
• 52-year-old male with BPH complaint.
• 68-year-old female with a urinary tract infection.
• The patient specific details are yours to develop and consider to support your choices.
• The non-prescription medication if any, AND the prescription details must be present.
• You may apply more than one prescription:
o For each the drug name, dose, route, frequency of administration and if prescribed, the quantity to dispense must be present.
o Include the drug class details
o Justify your reasoning
Pharmaceutical treatment regimen
Full Answer Section
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- Azithromycin: 1 gram orally, single dose.
- Class: Macrolide antibiotic
- Rationale: Effective against most strains of Chlamydia trachomatis.
- Azithromycin: 1 gram orally, single dose.
- Gonorrhea:
- Ceftriaxone: 250 mg intramuscularly, single dose.
- Class: Third-generation cephalosporin
- Rationale: Effective against most strains of Neisseria gonorrhoeae.
- Ceftriaxone: 250 mg intramuscularly, single dose.
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Non-prescription Medications:
- Over-the-counter pain relievers like ibuprofen or acetaminophen can be used to manage discomfort associated with infection.
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Patient Education:
- Importance of partner notification and treatment.
- Abstinence from sexual activity until both partners have completed treatment.
- Safe sex practices, including consistent condom use.
- Potential for re-infection if partner is not treated.
- Importance of follow-up testing.
2. 52-year-old male with BPH complaint
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Patient Specifics:
- 52-year-old male with a history of hypertension and type 2 diabetes mellitus.
- Complains of weak urinary stream, hesitancy, nocturia, and urgency.
- Digital rectal exam (DRE) reveals an enlarged prostate.
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Treatment:
- Tamsulosin: 0.4 mg orally, once daily.
- Class: Alpha-1 adrenergic receptor blocker
- Rationale: Relaxes smooth muscle in the prostate and bladder neck, improving urinary flow.
- Tamsulosin: 0.4 mg orally, once daily.
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Non-prescription Medications:
- Over-the-counter medications like phenazopyridine can be used to temporarily relieve urinary tract discomfort, such as burning or urgency.
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Patient Education:
- Importance of maintaining adequate fluid intake.
- Avoiding bladder irritants such as caffeine and alcohol.
- Importance of regular follow-up with urologist to monitor symptoms and adjust medication as needed.
- Potential for side effects such as dizziness or orthostatic hypotension.
3. 68-year-old female with a urinary tract infection
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Patient Specifics:
- 68-year-old female with a history of hypertension and osteoarthritis.
- Complains of dysuria, urgency, frequency, and suprapubic pain.
- Urinalysis reveals the presence of leukocyte esterase, nitrites, and bacteria.
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Treatment:
- Nitrofurantoin: 100 mg orally, twice daily for 5 days.
- Class: Nitrofurantoin
- Rationale: Effective against most common uropathogens.
- Alternative:
- Trimethoprim/Sulfamethoxazole: Double-strength tablet (160/800 mg) orally, twice daily for 3 days.
- Class: Sulfonamide
- Rationale: Effective against most common uropathogens.
- Trimethoprim/Sulfamethoxazole: Double-strength tablet (160/800 mg) orally, twice daily for 3 days.
- Nitrofurantoin: 100 mg orally, twice daily for 5 days.
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Non-prescription Medications:
- Over-the-counter pain relievers like ibuprofen or acetaminophen can be used to manage discomfort.
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Patient Education:
- Importance of completing the full course of antibiotics.
- Increase fluid intake to help flush out bacteria.
- Avoid bladder irritants such as caffeine and alcohol.
- Practice good hygiene, such as wiping from front to back after urination.
Sample Answer
This is for informational purposes only. For medical advice or diagnosis, consult a professional.
1. 18-year-old female with positive chlamydia and gonorrhea exposure
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Patient Specifics:
- 18-year-old sexually active female with no significant past medical history.
- Complains of dysuria, increased vaginal discharge, and lower abdominal pain for the past week.
- Partner history: Recent new sexual partner.
- Physical exam: Mucopurulent cervicitis noted on speculum exam.
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Treatment:
- Chlamydia:
- Chlamydia: