Allergic Rhinitis Case Study Essay

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The patient with allergic rhinitis can maintain control of the symptoms by the use of pharmacological intervention and triggers avoidance. According to the U.S. department of health and human services [USPHHS (2013)], the approach to care of the patients with allergic rhinitis must include the patient’s history, a good physical examination, IgE examinations, advising against allergens, and evaluating for comorbidities such as eczema and asthma. Thus a good history and physical examination of the patient will help determine if comorbidities are present and provide early intervention. The patient with allergic rhinitis can maintain symptom management via intranasal steroid, oral/intranasal antihistamine (USPHHS, 2013). Combination therapy and leukotriene receptor antagonist are possible options. However, leukotriene should not be a primary intervention. The patient will be evaluated in 1 week to determine effectiveness of the interventions.

Accutane
Accutane or Isotretinoin is vitamin A derivative that presents naturally, but in small amount in the bloodstream and human tissue cells (On & Zeichner, 2013). The medication is used to treat acne vulgaris, which affects mostly adolescent and young adults. It is reserved for acne that does not respond to conventional therapy, including antibiotics. The medication contains retinoids, which
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If not fatal, fetal malformation may include cleft palate, anotia, small/absent auditory canal, septal defects, microcephaly, hydrocephalus, and limb reduction or duplication (On & Zeichner, 2013). Due to the terotogenic effect of the medication, the FDA has approved the iPLEDGE program to monitor the prescribing, dispensing, and distribution of isotretinoin. Other effects are chelitis, lipid abnormalities, and IBS. Patients who are taking isotretinoin are to be monitored monthly

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