Maryville University Of St. Louis

Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring includes: correct answer: serum potssium Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer is: correct answer: This can help in some patients Along with an antibiotic prescription, lifestyle education for a non-pregnant adult female who has had a UTI includes: correct answer: ...

What is a seizure and what can precipitate it? correct answer: A seizure is the result of the abnormal discharge of neurons. Anything that disrupts the neuron can trigger abnormal activity and seizures. Hyperventilation, sleep deprivation, sensory and emotional stress, and hormones are all risk factors. What education should families receive regarding seizure monitoring? correct answer: --Seizure prevention: sleep, exercise and avoidance of stressful situations. Administer meds such as anti...

Low-dose colchine correct answer: 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8 mg. Used for gout High-dose colchine correct answer: 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg.- not recommended/ used for gout Gout correct answer: Uric acid, liver and kidney lab, BUN, creatinine, and creatinine clearance should be monitored in the treatment of this disease, CBC if colchicine is used Colchine correct answer: This medication tre...

Adverse effects of chronic long-term use of PPI? correct answer: osteoporosis What is the most common cause of PUD? correct answer: H. pylori followed by NSAIDS and ASA How to initially treat PUD and H. pylori? correct answer: Triple Therapy; PPI BID, Amoxil 1 gm BID (metronidazole if allergic), Clarithromycin 500 mg QD 7-14 days If initial treatment fails what is the next line of therapy for H. pylori? correct answer: Quadruple therapy; PPI BID 8-12 weeks, metronidazole, tetracycli...

pseudoephedrine correct answer: children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline sprays, nasal bulb for clearing of secreations coricidin hbp correct answer: this medication should be prescribed to pts with htn and c/o of nasal congestion antihistamines correct answer: these medications have ADRs including sedation, dizziness, tinnitus, lassitude, fatigue headache, irritability antihistamine contraindications correct answer: these pop...

Tiotropium/Spiriva is a long acting ____________________ used in the maintenance of __________________ correct answer: 1. Antimuscarinic/Anticholinergic 2. COPD What is the action of Tiotropium (long acting antimuscarinic agent) correct answer: It is a smooth muscle relaxer and it decreases submucosal glands. This leads to reduction of smooth muscle contraction and mucus secretion. What are adverse reactions to Singulair/Montelukast that you need to teach patients about? correct answer: ...

1. Henry has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range they are now low. The possible cause for the low carbamazepine levels include: correct answer: Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance. 2. Carbamazepine has a Black Box Warning due to life-threatening: correct answer: Dermatologic reaction, including Steven's Johnson and toxic ...

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 1.2 mg followed by 0.6 mg 1 hour later (lower side effects than high dose) Patient education when prescribing colchicine includes? correct answer: a. Colchicine always causes some degree of diarrhea You have a patient who is taking allopurinol to prevent gout. Wha...

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 How is low dose colchicine prescribed? correct answer: 1.2 mg followed by 0.6 mg one hour later or 1.8 mg total How is high dose colchicine prescribed? correct answer: 1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total Patient education when prescribing colchicin...

*Dosing for low dose colchicine correct answer: 1.2 mg followed by 0.6 one hour later or 1.8 mg total *Dosing for high dose colchicine correct answer: 1.2 mg followed by 0.6 mg every 4 to 6 hours; or 4.8 mg total. What is the difference between low dosing and high dosing of colchicine correct answer: low dose is as effective as high dose with lower side effect profile What medication is used for gout? correct answer: Colchicine What does colchicine do? correct answer: Used for g...