TY - CHAP M1 - Book, Section TI - Sympathomimetics and Sympatholytics A1 - Jobst, Erin E. A1 - Panus, Peter C. A1 - Kruidering-Hall, Marieke PY - 2020 T2 - Pharmacology for the Physical Therapist, 2e AB - CASE STUDYA physical therapy clinic is associated with a wellness center where the practice provides consulting advice on aerobic and resistance exercise training. D.J. is a 47-year-old man who works as an accountant for a local business. Recently, his physician told him that he had hypertension and that his “good” cholesterol was low. The physician suggested that D.J. begin a regular exercise program to lower his blood pressure and to help improve his cholesterol profile. At his last medical evaluation, measurements of resting blood pressure and heart rate were 135/84 mm Hg and 84 beats per minute (bpm), respectively. His body mass index was 29 kg/m2. D.J. is currently taking no prescription drugs. The physical therapist developed an aerobic and upper extremity strength training program that D.J. has been performing three times per week during the past month, without incident. D.J. arrived today (Monday) to participate in his program. He stated that he missed Friday due to a cold. Over the weekend, he began taking over-the-counter cold medications to relieve his symptoms. These preparations included the topical decongestant Afrin (oxymetazoline) to relieve nasal congestion and oral Advil Cold and Sinus (ibuprofen and pseudoephedrine). During the conversation, the therapist notices that D.J. is moving his left arm in a circular motion and rubbing his left shoulder. He states that his left shoulder has been hurting intermittently for the past couple days just as it is now. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2021/03/03 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1168516758 ER -