Author Question: A patient who is an alcoholic is seen in the clinic, and the primary care NP admits the patient to ... (Read 51 times)

robinn137 · **on:** Jul 24, 2018

A patient who is an alcoholic is seen in the clinic, and the primary care NP admits the patient to the hospital for acute withdrawal. The patient has elevated liver enzymes. The NP should expect the inpatient provider to prescribe:

a. lorazepam (Ativan).
b. diazepam (Valium).
c. acamprosate (Campral).
d. chlordiazepoxide (Librium).

Question 2

A patient with peptic ulcer disease is taking a histamine-2 blocker and tells the primary care NP that over-the-counter antacid tablets help with the discomfort. The NP should tell this patient to:

a. discontinue the antacid.
b. discontinue the histamine-2 blocker.
c. take the antacid and the histamine-2 blocker at the same time.
d. take the histamine-2 blocker 2 hours before taking the antacid.

gcook · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
Benzodiazepines are used to treat alcohol withdrawal because they demonstrate cross-tolerance with alcohol. Short-acting benzodiazepines are used in patients with liver damage. Lorazepam is a short-acting benzodiazepine. Acamprosate is used to reduce voluntary intake of alcohol and is not used for withdrawal symptoms.

Answer to Question 2

D
Histamine-2 blockers should not be taken within 2 hours of antacid ingestion because antacids decrease the action of histamine-2 blockers.