course material

1. Baseline and follow up of therapy.
Baseline and follow up of therapy.Baseline and follow up of therapy.Dermatology Case
Study Onychomycosis1.According to the AAFP/CDC Guidelines, what antifungal
medication(s) should this patient be prescribed, and for how long? Write her complete
prescriptions using the prescription writing format in your textbook.According to the
CDC/AAFP guidelines, the Caucasian patient should get antifungal drugs that can be taken
either orally or by applying to the nail. If the condition is severe, like in her case, topical and
oral antifungal therapies can be combined. Intraconazole and terbinafine are oral drugs that
can be used in this case since they facilitate the growth of new nails, which are free from
infection, since they replace the infected areas (Muth, 2017). These drugs should be taken
for 6-12 weeks. However, the infection may heal after four months or take more time,
especially for older adults. However, these drugs hurt the body and may cause liver damage
or skin rash. As a result, they are not recommended to patients with heart failure, liver
diseases, or those under other medications. Medicated nail cream can also be rubbed in the
infected area to kill the fungus. In this case, the patient should take 250g of terbinafine and
200mg of intraconazole every day for three and two months, respectively.Notes: Take with
food.RX: TerbinafinePO: Once a day orallyDisp: 250mg CapsulesNotes: Take with foodRX:
ItraconazolePO: Once a day orallyDisp: 200mg Capsules2.What labs for baseline and follow
up of therapy would you order for this patient? Give rationale.ORDER NOW FOR
CUSTOMIZED, PLAGIARISM-FREE PAPERSBefore recommending any labs for the Caucasian
patient, I would first examine the antifungal agents present in the previous medications
given to her. Afterward, I would conduct some blood tests to evaluate the AST and ALT
levels of the patient. The normal AST range is recorded between ten to forty units per liter,
while ALT is 7 to 56 units in every liter, as noted by Wollina, Nenoff, Haroske, & Haenssle
(2016). As therapy continues, these tests would be given after four to six weeks. The tests
help monitor the antifungal agents like those in Intraconazole to ensure discomfort and pain
is relieved.undefinedReferencesMuth, C. C. (2017). Fungal nail infection. Journal of the
American Medical Association, 317(5), 546. doi:10.1001/jama.2016.20617.Wollina, U.,
Nenoff, P., Haroske, G., & Haenssle, H. A. (2016). The diagnosis and treatment of nail
disorders. Deutsches Aerzteblatt International, 113(29-30), 509-518.– Please elaborated
one response with a minimum of 150 words and reference-APA 6th ed
format.Requirements: 150 words