Primary Care Medication Management

Primary Care Medication Management

Your patient is peri-menopausal and would like to use an herbal product; what do you recommend?

I would recommend to my patient to avoid by all means herbal products and supplements.  The central rationale for this decision stems from the fact that the Food and Drug Administration (FDA) has not evaluated herbal products to determine their effectiveness alongside safety in treating and managing some of the clinical symptoms associated with peri-menopause (Shorey, 2020). Instead, I would recommend my patient to engage in therapeutic interventions, such as hypnosis and cognitive behavioral therapy, due to their effectiveness in the management of symptoms such as hot flashes and mild depression. Need help with your assignment ? Reach out to us. We offer excellent services.

Which natural product helps to prevent bacteria from adhering to the urinary tract and bladder wall?

The natural product that is effective in preventing the adherence of bacteria to the urinary tract is water.  Staying hydrated plays an instrumental role in urine dilution and fastening its elimination, thereby making it cumbersome for bacteria to colonize the cells that line the urinary tract and, as such, preventing urinary tract infection (UTI).

Which herbal product is used in OTC cold prevention preparations?

For the complementary prevention of the common cold, the over-the-counter herbal product that is used is Echinacea. Multiple clinical trial studies have demonstrated that Echinacea is accompanied by numerous benefits in regard to the prevention and treatment of the common cold (David, 2019).

Which herbal product can be effective in treating depression and why?

The herbal product that is highly effective in treating depression is St. John’s Wort. Multiple studies suggest that the chemicals contained in herbal products (hypericin and hyperforin) improve mood by acting on the neurotransmitters responsible for mood regulation (Johnson & Shadiack, 2018).

Your patient is taking a mega dose of Vitamin A. Why is this dangerous?

An excessive dose of Vitamin A may result in acute and chronic toxicity of Vitamin A in the patient’s body. Acute toxicity usually occurs within a short duration of time, typically a few hours, and may manifest in dizziness, abdominal pain, irritability, and nausea (Roop, 2018). Chronic toxicity, on the other hand, may result in liver failure, osteoporosis, calcium buildup, and kidney failure.

Your patient asks which vaccine will be given at birth; what is your response?

At birth, infants are inoculated with two primary vaccines. The first vaccine administered at birth or as early as possible within 24 hours is the BCG vaccine, whose administration route is intra-dermal on the left upper arm. The second vaccine is a Hepatitis B Birth dose that is administered at birth or within 24 hours, with the administration route being intramuscular on the left anterolateral side of mid-thigh.

References

David, S. (2019). Echinacea for the prevention and treatment of upper respiratory tract infections: A systematic review and meta-analysis. Complementary Therapies in Medicine, 44, 18-26.

Johnson, G., & Shadiack, A. (2018). Does St. John Wort relieve symptoms of major depressive disorder in adults? Evidence-Based Practice, 21(8), 50.

Roop, J. K. (2018). Hypervitaminosis is an emerging pathological condition. Int J Heal Sci Res, 8, 280.

Shorey, S. (2020). Efficacy of mind-body therapies and exercise‐based interventions on menopausal‐related outcomes among Asian peri-menopause women: A systematic review, meta‐analysis, and synthesis without a meta‐analysis. Journal of Advanced Nursing, 76(5), 1098-1110.

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Discussion Prompt

Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations)

Your patient is peri-menopausal and would like to use an herbal product; what do you recommend?
Which natural product helps to prevent bacteria from adhering to the urinary tract and bladder wall?
Which herbal product is used in OTC cold prevention preparations?
Which herbal product can be effective in treating depression and why?
Your patient is taking a megadose of Vitamin A why is this dangerous?
Your patient asks which vaccine will be given at birth; what is your response?