This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with severe community-acquired pneumonia has been prescribed telithromycin Ketek. Which ... (Read 92 times)

swpotter12

  • Hero Member
  • *****
  • Posts: 527
on: Jul 23, 2018
A patient with severe community-acquired pneumonia has been prescribed telithromycin Ketek. Which aspect of the patient's medical history is of concern to the nurse?
 
  a. Anemia
  b. Myasthenia gravis
  c. Renal disease
  d. Strep. pneumoniae infection

Question 2

A prescriber has ordered deferasirox Exjade to treat iron overload associated with chronic blood transfusions. The nurse learns that the patient takes cholestyramine to reduce cholesterol.
 
  The nurse will contact the provider to request an order to: a. increase the cholestyramine dose.
  b. increase the deferasirox dose.
  c. monitor cholesterol levels.
  d. monitor liver function tests.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

janeli1

  • Sr. Member
  • ****
  • Posts: 330
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Telithromycin is a macrolide antibiotic used only for CAP. Patients with myasthenia gravis may experience rapid muscle weakness after taking the drug, and some have died from respiratory failure, so patients with MG should not take this drug. This drug does not have significant mye-losuppression, so anemia is not a concern. The drug causes liver injury, so liver disease, and not renal disease, is a concern. Telithromycin is indicated for treatment of S. pneumonia.

Answer to Question 2

B
Cholestyramine can reduce absorption of deferasirox; if the combination cannot be avoided, the dose of deferasirox should be increased. Increasing the dose of cholestyramine will only worsen the problem. It is not necessary to monitor the cholesterol level. Liver function testing should be routine with deferasirox administration, but not because of the combination of this drug with cholestyramine.


swpotter12

  • Member
  • Posts: 527
Reply 2 on: Jul 23, 2018
Gracias!

nyrave

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

The general survey includes assessing every patient for signs of distress. The general survey includes assessing every patient for signs of distress.
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
This pre-Anasazi community in Mesa Verde, Colorado, was carved into a cliff, making it nearly impreg This pre-Anasazi community in Mesa Verde, Colorado, was carved into a cliff, making it nearly impreg
The patient's signature on the informed consent form indicates that the patient understands the The patient's signature on the informed consent form indicates that the patient understands the
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
System of a patient in shock System of a patient in shock
Video: Digestive chemicals - water, gastric acid, bile & bicarbonate

For a complete list of videos, visit our video library