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MU NURS 615- ADVANCED PHARM - CHAPTER 25 STUDY GUIDE
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MU NURS 615- ADVANCED PHARM - CHAPTER 25 STUDY GUIDE
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MU NURS 615: ADVANCED PHARM - CHAPTER 25STUDY GUIDE
Henry is an 82-year-old male and takes two aspirin every morning to treat the arthritis
pain in his back. He states the aspirin helps him to "get going" every day. Lately he has
had some heartburn from the ASA. After ruling out an acute GI bleed, what would be an
appropriate course of treatment for Henry? - Answers-add an H2 blocker such as
ranitidine to his therapy
The trial period to determine effective anti-inflammatory activity when starting a patient
on ASA for RA is - Answers-4-6 days
Patients prescribed ASA therapy require education regarding the signs of ASA toxicity.
An early sign of toxicity is - Answers-tinnitus
Henry presents to the clinic with a significantly swollen, painful great toe and is
diagnosed with gout. What would be the best treatment? - Answers-low-dose colchicine
(1.2 mg first, then 0.6 mg after 1 hour)
Patient education when prescribing colchicine includes - Answers-it always causes
some degree of diarrhea
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes - Answers-BUN, creatinine, and creatinine clearance
Phil is starting treatment with febuxostat (Uloric). Education includes - Answers-
consuming a high-calcium diet
Sallie has been taking 10 mg per day of prednisone for the past six months. She should
be assessed for - Answers-osteoporosis
Patients whose total dose of prednisone will exceed 1 gram will most likely need a
second prescription for - Answers-omeprazole, a PPI to prevent peptic ulcer disease
Daniel has been on 60 mg of prednisone for 10 days to treat severe asthma
exacerbation. It is time to discontinue the medication. How is it discontinued? -
Answers-taper the dosage to wean slowly
Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-
treatment with which medications to prevent further adverse effects? - Answers-
biphosphonates, calcium, and vitamin D
Patients who are on or who will be starting chronic corticosteroid therapy need
monitoring of - Answers-blood glucose
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