Reference no: EM133760546

Question

A 15 year old patient is enjoying her first summer as a camp counselor, apart from several weeks of intermittent constipation secondary to the camp food and having to use the camp bathrooms. Her medical history is below. She presents to see you, the camp nurse practitioner. Which of the following is the most appropriate for her? (Please factor in expected onset of action, safety of intermittent use throughout the summer, the patient's other medications and ease of administration). Allergies: NKA Current Medications: Doxycycline, 50 mg each morning (acne) Cetirizine, 10 mg each morning (seasonal allergies) Mometasone nasal, two sprays each nostril each morning (seasonal allergies) Albuterol MDI, 1-2 inhalations PRN (mild intermittent asthma) Sertraline, 100 mg each evening (anxiety) Pertinent History: See above Health Maintenance. Immunizations: Immunizations up to date Family History: No significant family history Social History: Denies smoking, drug use or alcohol use

Docusate calcium, 240 mg capsule each morning Polycarbophil, 625 mg tablet up to four times daily Psyllium, 3.4 g packet each morning Glycerol suppository, 1 gram each morning.