RT Book, Section
A1 Jobst, Erin E.
A1 Panus, Peter C.
A1 Kruidering-Hall, Marieke
SR Print(0)
ID 1168516758
T1 Sympathomimetics and Sympatholytics
T2 Pharmacology for the Physical Therapist, 2e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259862229
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1168516758
RD 2021/02/26
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.