Reference no: EM133856668
Case Scenario:
Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches. He reports "I've been having chronic difficulty with headache, and they seem to be getting worse."
Mr. Thompson has a past medical history of hypertension and a myocardial infarction at the age of 29. He is currently taking losartan 50mg daily, verapamil SR 100mg daily, Carvedilol 25mg twice daily, Atorvastatin 40mg at bedtime and topiramate 50mg twice daily. Mr. Thompson reports a history of headaches past 20 years and a previous diagnosis of migraines. He is currently taking topiramate 50mg twice daily for headache prevention, but reports that in the last four months the headaches have increased in frequency to four to five headaches per month and he has been taking Excedrin migraine OTC without relief. The headaches are described as a painful throbbing and pressure over the left temple and he rates them at a 9 out of 10 pain. The headaches tend to last for 12 to 24 hours at a time. His neurologic exam in the office is normal today.
Instruction:
For each scenario, please provide the following:
• Identify the type of headache
• Write your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).
• Provide a rationale for your treatment plan.
• Describe the patient education you would provide in relation to your treatment plan.
• Support your plan and education for each scenario with a minimum of two scholarly references.