A 31-year-old white male comes in for an evaluation of his allergic rhinitis.

Scenario:

• A 31-year-old white male comes in for an evaluation of his allergic rhinitis. 
• He is known to your practice for the last decade. 
• Presently he is on Flonase nasal spray and Zyrtec daily for his allergic rhinitis.
• He owns his own business ‘Dr. Vinyl’ where he specializes in repair of vinyl in automobiles, boats, recreational vehicles, etc.
• Exposure to the smell of several of the products he works with has  resulted in dissatisfactory management of his typical allergic rhinitis.
• On numerous occasions over the last decade he has requested and been given an ‘allergy shot’.
• A review of his medical record reveals to you this ‘shot’ has been a steroid injection.
• BP 122/74, P 76, R 18

Please develop a discussion that responds to each of the following  prompts.  Where appropriate your discussion needs to be supported by  scholarly resources.  Be sure to include in-text citations in the  context of the discussion and provide a full reference citation at the  end of the discussion.

Initial post 

Utilize the information provided in the scenario to create your discussion post.