Capitol Family Nurse Practitioner Womens Health Prescription Discussion Questions

1. Patient is 12 weeks pregnant with her second child. She calls the office because of symptoms of nasal congestion. Her child has recently had a URI. She request information about what OTC meds she can safely take. What would you recommend to her? Give rationale.

2. Patient is now 16 weeks pregnant.  She presents to your office with new onset dysuria and urinary frequency.  Urine dip in office is positive for pyuria.  You diagnose her with presumptive acute cystitis and have a urine culture pending.  There is no fever or chills upon presentation.  She has no known medication allergies.  Will you prescribe an antibiotic prior to the results of the urine culture?  If so what will you use to treat? Give rationales for both questions.

3. Patient presents at 20 weeks pregnant.  She has experienced nausea the entire pregnancy and vomits at least once a day.  Previous non-medication measures have not relieved her symptoms.  She calls you at the office asking if there are any medications that she can take.  What OTC medications would be acceptable for her?  Give rationale.

Regarding question 1:Please refer to the following resources:”Pseudoephedrine is not recommended in pregnancy because it can reduce the blood flow in the placenta and to the baby.”…”Decongestant

use in the fi rst trimester has been associated with gastroschisis, small intestinal atresia, and hemifacial macrosomia”Also this patient may have a viral infection, considering her child has one. Would you please this into consideration when revising the answer? Other options like saline spray, etc. Thank you

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