Question

Adolescent w/Dysmenorrhea, Acne, & Sexually Active

SS is a 16-year-old presenting with severe dysmenorrhea. She began menstruating at age 13. Her periods have been irregular. Each moth she misses a day of school because of severe cramps and heavy bleeding with her menses. She also has a moderate case of acne, which is very disturbing to her. She has tried topical preparations and antibiotic therapy for the acne without results. She has no history of gallbladder disease, migraine headaches, or chest pain.

Social history: SS is a sophomore in high school. She is sexually active but does not use condoms. She has had two sexual partners, although now she is in a monogamous relationship with a senior at her high school. She lives with her mother and younger brother. She does not smoke or drink.

Issues: SS has dysmenorrhea that affects her quality of life. In addition, she has acne, which is disturbing to her self-image. SS is sexually active and does not use condoms. This puts her at risk for pregnancy and sexually transmitted infections (STIs).

4) Discuss specific patient education based on the prescribed therapy.

5) List adverse reactions for the selected agent that would cause you to change therapy.

6) Write your prescription for this patient.

Answer 1

4.The specific patient education for this patient can be

• Medication:
  • To take medication as directed(Ibuprofen)
  • Not to overdose
  • Report in case if f no improvement
  • Take medication after the menstrual cycle starts
• Behavioral, Exercise therapy
  • To follow a active lifestyle
  • Exercise regularly
• Sex education
  • Educate about the STI and safe intercourse practice

5.The adverse reactions of the selected agent can be as following making it necessary to change therapy

• Nausea
• Vomiting
• Alteration in bowel pattern either constipation or incteased bowel movement
• Abdominal pain
• Gastric ulcer

6.The prescription for the drug can be in the following way

Patient name :SS Age:16yr/F

Medication: Ibuprofen

Dosage:400mg

Frequency: Three times a day

Route:Oral

Dispatch: 9 tablets ×3 days

Refills:No refills