please try to ensure use of reviewed journal articles, not references from websites. 160 words minimum APA format
From the assessment findings, the medication I would prescribe for Mr. J.R is ibuprofen and acetaminophen. Primary adenopathy is an inflammation of the lymph nodes that may occur in any part of the body. Putting into consideration of J.R’s partner’s history of fever blisters, it is right to assume that her condition is caused by a viral infection. despite this, the medication the patient will receive is not limited to the viral infection. Therefore, symptomatic management of the patient such as administering analgesics such as acetaminophen and ibuprofen is important management. This medication will help to alleviate the pain the patient is experiencing as a result of the inflammation. The two medications have also an antipyretic property that works at the thermoregulators hence minimizing the body temperatures and fevers (Bindu et al., 2020). In addition, adenopathy may be having an underlying cause that can range from bacterial, viral, or fungi. In addition, the patient can be put on acyclovir, valacyclovir, and famciclovir to manage genital and cervical lesions.
Ibuprofen and acetaminophen are non-steroidal anti-inflammatory drugs containing properties of antipyresis, anti-inflammatory, and analgesic. The mode of action is non-selective, reversible inhibition of the enzyme cyclooxygenase enzyme COX-1 and COX-2. One of the enantiomers is a greater inhibitor of COX enzyme than R-ibuprofen with a higher inhibition activity at COX-1 than COX-2 in vitro. The antiviral drug acyclovir undergoes conversion to triphosphate form (ACV-TP), which inhibits completely the viral DNA polymerase hence incorporating ad terminating the growing chain of DNA hence inactivating the viral DNA polymerase (Yousefifard et al., 2020).
Monitoring the Success of the Therapy
As the patient takes ibuprofen and acetaminophen, the nurse should assess the different levels of pain and if it is resolving, any gastrointestinal complaints, blood pressure levels, and renal function. Some of the adverse effects include constipation, bloating, dizziness, nervousness, and ringing sound in the ear (Jahangiri et al., 2022). After taking a course on this drug, the pain should have been alleviated in the genital area. Because of the anti-inflammatory property, the inflammation and the adenopathy should decrease with time. Temperature monitoring should be done frequently to monitor the progress of fevers if they are subsiding. As the patient takes acyclovir, she should be monitored for side effects such as nausea, vomiting, transaminitis, diarrhea, headache, aggression, and confusion. After three days, the vesical should start to dry up and heal. Then after 2-3 weeks, they should dry and clear up without any complication.
Health Education for Mrs. J.R
Encourage the patient on home remedies and lifestyle changes such as the application of a warm compress to the affected area. The warm compress help to increase blood supply to the area. To manage pain and fevers, encourage the patient to adhere to the medication prescribed. The patient should get adequate rest to prevent malaise during the recovery period. In addition to the medication, educate the patient on good sexual hygiene such as having one sexual partner, being faithful to your partner, and in case of any symptoms, the patient should seek medical attention earlier (Footman et al., 2021). Encourage the patient to drink plenty of water to prevent dry mouth and avoid touching the affected area.
Bindu, S., Mazumder, S., & Bandyopadhyay, U. (2020). Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective. Biochemical pharmacology, 180, 114147. https://doi.org/10.1016/j.bcp.2020.114147
Footman, A., Dagama, D., Smith, C. H., & Van Der Pol, B. (2021). A Systematic Review of New Approaches to Sexually Transmitted Infection Screening Framed in the Capability, Opportunity, Motivation, and Behavior Model of Implementation Science. Sexually transmitted diseases, 48(8S), S58–S65. https://doi.org/10.1097/OLQ.0000000000001461
Jahangiri, S., Mousavi, S. H., Hatamnejad, M. R., Salimi, M., & Bazrafshan, H. (2022). Prevalence of non-steroidal anti-inflammatory drugs (NSAIDs) use in patients with hypertensive crisis. Health science reports, 5(1), e483. https://doi.org/10.1002/hsr2.483
Yousefifard, M., Zali, A., Zarghi, A., Madani Neishaboori, A., Hosseini, M., & Safari, S. (2020). Non-steroidal anti-inflammatory drugs in the management of COVID-19; A systematic review on current evidence. International journal of clinical practice, 74(9), e13557. https://doi.org/10.1111/ijcp.13557