Exam (elaborations)
SHADOWHEALTH BASIC
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Exam of 5 pages for the course SHADOWHEALTH BASIC at SHADOWHEALTH BASIC (SHADOWHEALTH BASIC)
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SHADOWHEALTH BASIC"What is this?";
Let the patient know which medication you are giving & what it is intended to treat. -
Answers-Model Response: This is lisinopril, which you are getting to help control your
high blood pressure.
"I guess I'm not supposed to take this with food. Is that right?";
This is an opportunity to teach the patient whether this medication should be taken with
food. - Answers-Model Response: Lisinopril can actually be taken with or without food,
whatever fits your routine best. What is most important is to take this at the same time
everyday.
"Is it okay to take this with the blood thinner they're giving me?";
Inform your patient whether there is an interaction between these drugs. - Answers-
Model Response: I'm glad you asked. There is no interaction between these drugs, so
it's okay to take them together. It's actually very important to keep your high blood
pressure well controlled while you are receiving blood thinners like warfarin and
enoxaparin, which means you'll want to keep taking your lisinopril regularly while you
are on those medications.
"So, this is the Lipitor then?";
Let your patient know about the generic medication he is receiving. - Answers-Model
Response: Yes, this is atorvastatin, which is the generic name for lipitor. I'm giving it to
you to help keep your cholesterol levels under control.
"So, I just keep taking this stuff and it'll do it's magic for my cholesterol, huh?";
This is an opportunity to educate your patient on the lifestyle adjustments he can make
to improve the desired outcomes of this medication. - Answers-Model Response: To
manage your cholesterol levels effectively, it is important to work on this in your lifestyle
too. Having a regular exercise regimen, eating a diet that is low in fats, carbohydrates,
and alcohols, and not smoking can help this medication do its job.
Mr. Larson's general practitioner advised him to take 2g of fish oil per day. The capsules
Mr. Larson purchased are 1,000mg. How many fish oil capsules should he take each
day? - Answers-2g x (1,000 mg/ 1 g) x (1 capsule/ 1,000 mg)
= 2 capsules per day
Before his surgery, Mr. Larson was taking tramadol, prescribed as 50 mg by mouth
every 6 hours as needed for pain. If he took it every available dose in a 24-hour period,
, how many mg tramadol would he ingest? - Answers-24 hours x (1 dose/ 6 hours) x (50
mg/ 1 dose)
= 200 mg tramadol
While in the hospital, the orders call for Mr. Larson to take atorvastatin 20 mg, 1 tablet,
by mouth once a day. However, the pharmacy only has 10 mg tablets. How many
tablets of atorvastatin should be administered to him? - Answers-(20 mg/ 1 day) x (1
tablet/ 10 mg)
= 2 tablets atorvastatin per day
While in the hospital, the orders call for Mr. Larson to take lisinopril 10 mg, 1 tablet, by
mouth once a day. The pharmacy only stocks 5 mg tablets of lisinopril. How many
tablets of lisinopril should be administered to him? - Answers-(10 mg/ 1 day) x (1 tablet/
5 mg)
= 2 tablets lisinopril per day
The Davis's Drug Guide reports a potential drug-drug interaction with acetaminophen
and warfarin. If a patient is taking warfarin, more than 2 g/ day of acetaminophen may
increase bleeding. Because Mr. Larson is ordered both, he should receive no more than
2 g/ day of acetaminophen.
If Mr. Larson takes acetaminophen 325 mg, 2 tablets, by mouth every 4 hours for mild
pain, what is the maximum number of tablets you can give him so that he doesn't
exceed 2 g/ day? (Assume you will only give him whole tablets) - Answers-2 g x (1000
mg/ 1 g) x (1 tablet/ 162.5 mg)
= 12.3 → 12 tablets per day;
Error on key: 2 g x (1000 mg/ 1 g) x (1 tablet/ 325 mg)
= 6.15 → 6 tablets per day
At 0800, Mr. Larson reports a moderate pain level of 5, and so you administer
oxycodone 5 mg/ acetaminophen 325 mg, 1 tablet, by mouth. At 1200, Mr. Larson
reports mild pain rated 3, so you administer acetaminophen 325 mg, 2 tablets, by
mouth. At this point, how much acetaminophen has Mr. Larson taken? - Answers-Dose
1 = 325 mg acetaminophen x 1 tablet = 325 mg acetaminophen
Dose 2 = 325 mg acetaminophen 2 tablets = 650 mg acetaminophen;
325 mg + 650 mg
= 975 mg acetaminophen
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