OA - Rishi

Examine the image below to learn more about the client to write an appropriate and individualized prescription. 

Rishi Agarwal Image Description

Write an appropriate prescription for this client in the activity below. Click the "Show Answers" option that will appear once all fields are complete to compare your response with the correct answer.

An appropriate prescription for Rishi is:

Client Name:  Rishi Agarwal 

Date of Birth: 2/15/1954 

Date Prescribed: Current Date 

Rx:  naproxen (Naprosyn) 250mg 

Dis:  90 

Sig: Take one tablet by mouth every 8 hours as needed 

Refills (0-4): 2 

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: The CPG strongly recommends oral NSAIDs as the initial oral medication choice for clients with (OA) in the knees. Oral NSAIDs are cornerstone in the pharmacologic management of OA due to their proven short-term efficacy in numerous trials (Kolasinki et al., 2020). Since Rishi does not have cardiovascular disease or gastrointestinal (GI) conditions, oral NSAIDs are appropriate. First-generation NSAIDs are first-line NSAID therapy; therefore, second-generation NSAIDs were not selected (Rosenthal & Burchum, 2021). NSAIDs have different side effect profiles. Naproxen is well-tolerated by most clients and is the preferred pharmacotherapy choice for Rishi. Two refills are provided and a follow up appointment is scheduled to ensure no adverse side effects from the medication.