J.H. Is two weeks PP.  She describes pain in her left breast…

J.H. Is two weeks PP.  She describes pain in her left breast, with a fever of 101.2. She says she feels terrible, she is weak, and her head hurts. It is painful to nurse, but she is trying to feed her baby often. She has a PCN allergy.  Other antibiotics have not bothered her. First  line therapy options for J.H. for the treatment of mastitis (typically staph aureus in most cases) includes all of the following except:

A patient known to you, with a history of bipolar disorder g…

A patient known to you, with a history of bipolar disorder gets S/S of postpartum depression and pages you for help. She takes a PNV daily, and uses her albuterol inhaler on occasion. She has NKDA. She describes lack of sleep, no appetite, crying all the time, feels a loss of control and lack of joy. She says she felt just like this last time she had a baby, and medication helped. She denies SI, the desire to harm herself or her baby, and knows to call you right away if these occur. You decide: