UTI, Crohns Disease Pharmacology
Mrs. Tripp is a 66-year old woman with a chief complaint of generalized feeling poor and a 24-hour history of dysuria, urinary frequency, and urgency. She has had recent sexual activity. She has a 5-year history of chronic diarrhea (6 stools per day without blood), abdominal pain and difficulty maintaining weight, which seems to be getting worse. She had a hysterectomy 3 years ago. Her medications include: Sulfasalazine 500 mg. bid; calcium carbonate 1,000 mg. qd.
Most recent pertinent labs: CRP of 5 mg/L; K+ of 2.8 mg/dl; all others are WNL. Urinalysis has WBC 10-15 cells/hpf; RBC, 1-5 cells/hpf; bacteria 2-5/hpf; nitrite negative. NKDA Physical shows an alert woman, with P=90, BP100/66, R=18, T-(oral)=99. Only abnormal findings are low weight for 5’5” woman at 100 lb, pain to palpation in upper and lower quadrants of the abdomen.
Diagnosis: Acute uncomplicated urinary tract infection. Progressive Crohn’s disease.
In a 3-5 page APA paper, respond to the following questions.
Review information you find on the Colorado PDMP program and be prepared to discuss the quad registry in Colorado. How you would design your opioid prescribing practice if you had one. Why is there a rising epidemic of prescribing opioids? In the world of musculoskeletal injury or pain, what are some effective treatments that are not opioids? When are anti-inflammatory or muscle relaxants useful? What role does genetic research play in prescribing pain medications?