Assignment: Nervous System Case Study
Marsha Lansing, a 30 year old female, comes to the clinic where you work as a nurse practitioner reporting daily headaches and feelings of irritability and sadness. She also reports difficulty concentrating and getting out of bed some days. She states that she lives a very stressful life and finds herself worrying constantly about work, home, finances, family and pets. She is anxious and alert during the exam. Her physical exam is within normal limits.
Her laboratory results are as follows:
TSH: 2.6 U/mL
Calcium: 9 mg/dL
Hgb: 13 mg/dL
Glucose: 86 mg/dL
Case Study Questions
1. What is your treatment plan for Ms. Lansing?
2. What is the action, use, adverse effects, contraindications and drug interactions of the medication that you will prescribe for Ms. Lansing? You see Ms. Lansing back in 2 weeks and she tells you that she has been taking St. John's Wort and melatonin since the last visit.
3. What effect will these herbal medications have on the medication that you prescribed?
4. What patient teaching will you provide to Ms. Lansing?