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Medicines during first trimester of pregnancy

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Jane, age 23 years, thinks she may be pregnant because she has missed one menstrual period. It is spring, and she has a history of allergic rhinitis that causes sinus headaches. She calls the doctor's office triage line and asks what medications she may take for her allergies. In the past, her doctor previously prescribed an antihistamine for allergic rhinitis, and she asks that you call in the same prescription to the pharmacy.

1. What are the major concepts illustrated by this scenario (Reflection)?

2. What should the person taking the call do (Exploration and Integration)?

3. What should Jane be told about taking medicines during the first trimester of pregnancy (Exploration and Integration)?

4. If there were medications that could be safely given during the first trimester, in what pregnancy category would the medications be listed using the old classification system? How has the concept of pregnancy categories changed? What are the new labeling categories initiated in 2018 (Exploration and Integration)?

5. How might the office practice avoid similar types of cases in the future (Resolution)?

Reference no: EM133362582

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