Read the following case study and respond to each of the following prompts. In APA format, cite current research findings, national guidelines, and expert opinions a found in the medical and nursing literature to support your position and suggestions.
You are seeing a 22-year-old female college student who presents to the clinic for follow-up after initiating contraception with ethinyl estradiol 30mcg/levonorgestrel 150mcg six months ago. She complains of mood swings, mild acne, and weight gain since initiating the contraceptive pill She has a past medical history of seasonal allergic rhinitis, but no chronic illnesses or history of thromboembolic events Current medications: ethinyl estradiol 30mcg/levonorgestrel 150mcg daily and cetirizine 10mg daily as needed She reports physical activity in the form of walking for 20 to 30 minutes daily, and she denies any recent changes to diet Ht 5’5”, Wt 155 lbs, BP 118/72, P 72, R 17 Her exam today is normal, with the exception of moderate facial acne noted on her physical exam. 1) Discuss how you would adjust or replace the patient’s current regimen and provide a rationale supported by scholarly references for your treatment plan. 2) Include 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) 3)Describe the patient education you would provide in relation to your treatment plan. 4) Provide your plan for follow-up and/or referral (if indicated)
You are seeing a 22-year-old female college student who presents to the clinic for follow-up after initiating contraception with ethinyl estradiol 30mcg/levonorgestrel 150mcg six months ago. She complains of mood swings, mild acne, and weigh