NR 509 Week 6 iHuman Virtual Patient Encounter Attempt 3697194 - Bebe Babbit
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History Notecard by Korren King on case Bebe Babbitt Use this to collect your thoughts to develop a differential diagnosis list. Step 1: Write symptoms (Sx) you have identified in the appropriate column and row. Step 2: Characterize the symptoms using "OLDCARTS" (ie., Onset, Location, Characteristics...etc) in the HPI section. Step 3: Record your thoughts in the space labeled "What this means". Is the disease acute or chronic? Infectious or other?... Timing/treatments Hx Categories Sx= Sx= Sx= Sx= Sx= Sx= CC Provided How can I help you? Any other symptoms? HPI Onset/events Location Duration Characteristics Aggravating Reliving Severity What this means Attempt: 3697194 Report generated on 10/12/2025, 3:28:05 PM America/Denver Management Plan by Korren King on case Bebe Babbitt 1. Diagnostic tests: No diagnostic tests required. Brain imaging can sometimes be harmful to patients if unnecessary due to exposing the patient to radiation and imaging is very rarely needed in the diagnosis of a migraine (Eigenbrodt et al., 2021). 2. Medications: write a specific prescription for each medication, including over-the-counter medications: Sumatriptan 50mg oral tablet; take one tablet PRN for migraine. May take another dose in 2 hours if needed. Max dose is 200mg in 24 hours. Ondansetron 4mg oral tablet; take one tablet by mouth every 8 hours PRN for nausea/vomiting. Ibuprofen 200mg tablets OTC; Take two tablets for migraine every 4 hours PRN. NSAIDs and triptans should be the first line of treatment for migraines in patients who do not have any contraindications (Martin et al., 2021). 3. Suggested consults/referrals: No referrals needed. Only a small percentage of patients whose conditions are difficult to diagnose, treat, or are complicated by comorbidities should be referred to specialists for migraines (Eigenbrodt et al., 2021). 4. Client education: Patient should be educated on what migraines are and when she should take medications. Patients should keep a headache diary and calendar. Headache calendars should be used to document the frequency of migraines, the frequency and severity of headaches, and headache-related events, such as the use of acute and preventative medications and menstruation, while the diaries can also help with reevaluating the diagnosis during follow-up (Eigenbrodt et al., 2021). Patient should be educated on stress management, exercise, hydration, proper nutrition, and sleep as these things can increase the likelihood of a migraine (Ailani et al., 2021). Report any adverse side effects of medications immediately. Educate patient to take triptan at the aura stage and not during migraine for abortive therapy. Education improves self-management, decreases medication- overuse headaches, and increases adherence (Martin et al., 2021). 5. Follow-up, including time interval and specific symptomatology to prompt a sooner return: An initial follow up visit needs to be scheduled in 2-3 months after starting medication to ensure it's working appropriately and then another visit in 6-12 months after that if everything is going well (Eigenbrodt et al., 2021). Seek immediate care if you have any red flag symptoms such as fever, neck stiffness, altered mental status, thunderclap headache, or concern for acute glaucoma (Viera & Antono,
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