615 Pharm Exam 3| Latest Exam With Verified Answers

615 Pharm Exam 3| Latest Exam With Verified Answers Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? - Correct Answer Low-dose colchicine. Low-dose colchicine is 1.2 mg followed by 0.6 mg one hour later or 1.8 mg total. High-dose colchicine is 1.2 mg followed by 0.6 mg Q4 to Q6 hours or 4.8 mg total. The difference between the two is low-dose is as effective as high-dose with a lower side effect profile. Patient education when prescribing colchicine includes? - Correct Answer Colchicine always causes some degree of diarrhea You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this patient on allopurinol? - Correct Answer BUN, creatinine, and creatinine clearance Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated on what to expect. - Correct Answer Gout may worsen with therapy Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for some time should be assessed for what? - Correct Answer Osteoporosis. Prednisone can also worsen diabetic control and you must educate your patients to report any tarry black stools or abdominal pain. When you place a patient on prednisone and the total dose exceeds 1 gram, what additional drug should you prescribe? - Correct Answer Omeprazole, a proton-pump inhibitor to prevent PUD Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen +hydrocodone). What education should you provide before they leave your clinic? - Correct Answer Patient should not take any other medications that contain acetaminophen. When you do have a patient who has pain, always start with NSAIDs if they are not contraindicated in your patient. That way if their pain is not controlled you can prescribe a medication that is stronger. Margaret has been on 60 mg of prednisone for 10 days for her severe asthma exacerbation. Since she is breathing much better it is time to discontinue the medication. What should you know when discontinuing this drug? - Correct Answer Develop a tapering schedule because tapering helps to avoid both recurrent activity of the underlying disease process and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis (HPA) suppression during the period of steroid therapy.