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Chapter 25: Pharm

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Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for:
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Renal dysfunction
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Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:
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Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
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Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?
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Develop a tapering schedule to slowly wean Daniel off the prednisone.
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Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
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Serum glucose
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Patients who are on chronic long-term corticosteroid therapy need education regarding:
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Reporting black tarry stools or abdominal pain
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Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:
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He should not take any other acetaminophen-containing medications.
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When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs:
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Warfarin, an anticoagulant
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Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would her parent need regarding ibuprofen?
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Josefina needs to be well-hydrated while taking ibuprofen.
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Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?
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Add an H2 blocker such as ranitidine to his therapy.
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The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:
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4 to 6 days
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Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
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Tinnitus
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Patients who are on long-term aspirin therapy should have ______ annually.
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CBC
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Patients need to be questioned about all pain sites because:
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Patients tend to report the most severe or important in their perception.
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Narcotics are exogenous opiates. They act by:
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Attaching to receptors in the afferent neuron to inhibit the release of substance P
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One of the main drug classes used to treat acute pain is NSAIDs. They are used because:
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Inflammation is a common cause of acute pain.
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If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. are given in which order of use?
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Non-opiate, increased dose of non-opiate, opiate