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Author Question: A patient with histoplasmosis is being treated with itraconazole (Sporanox). The nurse will teach ... (Read 13 times)

futuristic

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on: Jul 23, 2018
A patient with histoplasmosis is being treated with itraconazole (Sporanox). The nurse will teach this patient to report which symptoms?
 
  a. Gynecomastia and decreased libido
  b. Headache and rash
  c. Nausea, vomiting, and anorexia
  d. Visual disturbances

Question 2

A patient has a systemic candidal infection, and the provider has ordered oral fluconazole (Diflucan) 400 mg on day 1 and 200 mg once daily thereafter. What will the nurse do?
 
  a. Administer the drug as ordered.
  b. Contact the provider to discuss cutting the dosing in half.
  c. Contact the provider to discuss giving 400 mg on all days.
  d. Contact the provider to discuss giving the drug intravenously.


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janeli

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Itraconazole is associated with rare cases of liver failure, some of which were fatal. Patients should be instructed to reports signs of liver toxicity, including nausea, vomiting, and anorexia. Ketoconazole is associated with gynecomastia and libido changes. Headache and rash are associated with fluconazole. Visual disturbances may occur with voriconazole.

Answer to Question 2

ANS: A
The dosing for fluconazole for systemic candidal infections is 400 mg on the first day and 200 mg/day each day thereafter. Dosing for oral or esophageal candidal infections is half that for systemic infections. It is not correct to give 400 mg on all days of therapy. Fluconazole is as effective when given orally as it is when given intravenously.


futuristic

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


janeli

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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