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

Author Question: A patient taking gemfibrozil Lopid and rosuvastatin Crestor concurrently begins to complain of ... (Read 27 times)

NClaborn

  • Hero Member
  • *****
  • Posts: 560
on: Jul 23, 2018
A patient taking gemfibrozil Lopid and rosuvastatin Crestor concurrently begins to complain of muscle aches, fatigue, and weakness. What should the nurse monitor?
 
  a. For tendon tenderness
  b. For a lupus-like syndrome
  c. The patient's liver function test results
  d. The patient's creatinine kinase levels

Question 2

A patient who recently started therapy with an HMG-COA reductase inhibitor asks the nurse, How long will it take until I see an effect on my LDL cholesterol? The nurse gives which cor-rect answer?
 
  a. It will take 6 months to see a change.
  b. A reduction usually is seen within 2 weeks.
  c. Blood levels normalize immediately after the drug is started.
  d. Cholesterol will not be affected, but triglycerides will fall within the first week.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

brittanywood

  • Sr. Member
  • ****
  • Posts: 355
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Creatinine kinase levels are the best laboratory indicator of myopathy and/or rhabdomyolysis, which may lead to renal failure. As with the statins, gemfibrozil and other fibrates can cause myopathy. Fibrates must be used with caution in patients taking statins. Concurrent use of gem-fibrozil and rosuvastatin does not cause tendon tenderness or a lupus-like syndrome. Liver func-tion levels should be determined at the start of statin therapy and every 6 months thereafter in patients who do not have liver disease.

Answer to Question 2

B
Reductions in LDL cholesterol are significant within 2 weeks and maximal within 4 to 6 weeks. It does not take 6 months to see a change. The blood level of LDL cholesterol is not reduced immediately upon starting the drug; a reduction is seen within 2 weeks. Blood cholesterol is af-fected, specifically LDL cholesterol, not triglycerides.


NClaborn

  • Member
  • Posts: 560
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

chjcharjto14

  • Member
  • Posts: 342
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.

Building competency in patient centered care Building competency in patient centered care
PET Scans of a Patient with Parkinsonian Symptoms PET Scans of a Patient with Parkinsonian Symptoms
A Patient Being Prepared for Electroconvulsive Therapy. A Patient Being Prepared for Electroconvulsive Therapy.
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Patient Physical Status Classification Patient Physical Status Classification
Video: Neuron Structure Animation

For a complete list of videos, visit our video library