13 May Cameron Blevins, a 12-year-old male client (DOB: 10/8/2012), present with complaints of sneezing, itchy eyes, coughing, and a runny nose
CASE STUDY:
Cameron Blevins, a 12-year-old male client (DOB: 10/8/2012), present with complaints of sneezing, itchy eyes, coughing, and a runny nose. His mother attends the appointment with the client and describes these symptoms as occurring every spring. On assessment, the provider notices clear nasal drainage and dark circles under the client’s eyes. The client’s lungs are clear and no rashes are noted. His mother says he has been using saline nasal irrigation without relief. The provider determines that the client is experiencing mild, intermittent allergic rhinitis and considers what medications to recommend for symptom relief.
Past Medical History: None
Allergies: Pollen
Medications: None
Social History: He has never smoked cigarettes or drank alcohol.
Physical Exam:
• Height: 5 feet 3 inches
• Weight: 110 lbs
• Body Mass Index (BMI): 19.5
• Blood Pressure (BP): 106/70
• Heart Rate (HR): 89
• Respiratory Rate (RR): 19
• Oxygen Saturation (O2 Sat): 100% on RA
• Temperature (TEMP): 98.6 oral
An appropriate prescription for Cameron is:
Name: Cameron Blevins
Date Of Birth: 10/8/2012
Date Prescribed: Current Date
Rx: loratadine (Claritin) 10 mg
Disp: 30
Sig: Take one tablet by mouth once daily.
Refills (O-4): 4
Dispense as Written:
Generic Substitution Permitted:
• Either Dispense as Written or Generic Substitution Permitted should be checked on every written prescription depending on what is best for each client. Refer to the week 1 lesson for criteria.
Rationale: This client is experiencing symptoms of allergic rhinitis that is intermittent, due to its occurrence every spring. According to the CPG, after saline nasal irrigation (which the client has already tried), clients should take second-generation oral antihistamines, such as loratadine. Loratadine is available over-the-counter, and children age twelve are able to take adult doses of 10 mg once daily. Four refills are prescribed at this time, however, the client and his mother should be taught to only take the medication during times when allergens may be present (e.g., spring). The provider should also ensure the follow-up with the client to if treatment is ineffective or if symptoms get worse (Dykewicz et al., 2020; Rosenthal & Burchum, 2025).
Step 1: Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription information provided.
Step 2: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
a. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
b. Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your client’s situation?
c. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
d. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
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