Author Question: The nurse is admitting a mental health patient and collects the medication history. The patient says ... (Read 51 times)

sammy · **on:** Jul 23, 2018

The nurse is admitting a mental health patient and collects the medication history. The patient says he takes Haldol, midodrine, hydrochlorothiazide, acetaminophen, and Cymbalta.

The nurse will call the provider to discuss what dangerous drug combination? A) Haldol and midodrine
B) Hydrochlorothiazide and midodrine
C) Cymbalta and midodrine
D) Acetaminophen and midodrine

Question 2

A patient comes to the clinic with a herpes outbreak. The nurse notes from the patient's chart that the patient is just beginning a course of antibiotics prescribed by another physician in the clinic.

What classification of antibiotic should not be taken with an antiviral medication used to treat herpes? A) Penicillin
B) Beta-Lactam
C) Aminoglycoside
D) Macrolide

chreslie · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Midodrine can precipitate increased drug effects of digoxin, beta-blockers, and many antipsychotics. Such combinations should be avoided. The other drug combinations do not pose any immediate concerns.

Answer to Question 2

C
Feedback:
The risk of nephrotoxicity increases when agents indicated for the treatment of herpes and cytomegalovirus are used in combination with other nephrotoxic drugs, such as the aminoglycoside antibiotics. No contraindication exists for penicillins, beta-lactams, or macrolide antibiotics.