John Miller, a 65-year-old patient, has arrived at the clinic for a return-to-work visit. He has a history of hypertension, diabetes Type 2, myocardial infarction (MI) 4 years ago, and congestive heart failure (CHF). He has been taking glyburide 2.5 mg daily, captopril 25 mg twice a day, and HCTZ 25 mg daily. He is here for a blood pressure check and the physician wants to evaluate the medications he just started 3 months ago. He also is scheduled for a pneumococcal immunization. As you read through this chapter, think about what the medical assistant should do next and why.
1.In the initial interview we should ask about the side effects and therapeutic effects of medications, like hypoglycemia, hypotension and common nutritional implications of hydrochlorothiazide like depletion of sodium, potassium, magnesium and zinc
2. If the patient reports of having bad reactions after previous pneumococcal vaccination, I shall ask about the symptoms of those reactions and find out whether it was mild or anaphylactic reactions and decide to administer the vaccine or not
3. To minimize irritation and discomfort apply ice or over the counter topical numbing cream before rubbing with the alcohol swab and allow alcohol to dry completely before pricking the needle
Apart from this I should explain the patient that mild irritation happens after vaccination and it will subside on its own in couple of days and need not to do anything about them
Get Answers For Free
Most questions answered within 1 hours.