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Author Question: The nurse is caring for a patient scheduled for surgery who is to receive a barbiturate as part of ... (Read 47 times)

cool

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The nurse is caring for a patient scheduled for surgery who is to receive a barbiturate as part of the planned balanced anesthesia.
 
  What drugs, if taken by the patient, could result in a clinically important drugdrug interaction with the barbiturate? (Select all that apply.) A) Thyroid hormone
  B) Ibuprofen
  C) Oral contraceptive
  D) Theophylline
  E) Anticoagulant

Question 2

What H2 antagonist would the nurse consider the drug of choice for a patient with advanced liver failure?
 
  A) Cimetidine
  B) Nizatidine
  C) Ranitidine
  D) Famotidine



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Toya9913

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Answer to Question 1

C, D, E
Feedback:
Caution must be used when these drugs are used with any other central nervous system suppressants. Barbiturates can cause decreased effectiveness of theophylline, oral anticoagulants, beta-blockers, corticosteroids, hormonal contraceptives, phenylbutazones, metronidazole, quinidine, and carbamazepine. Combinations of barbiturate anesthetics and narcotics may produce apnea more commonly than occurs with other analgesics. Thyroid hormone and ibuprofen have no known drug interactions with barbiturates.

Answer to Question 2

B
Feedback:
Nizatidine differs from the other three drugs in that it is eliminated by the kidneys, with no first-pass metabolism in the liver. It is the drug of choice for patients with liver disease or dysfunction.




cool

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Reply 2 on: Jul 23, 2018
:D TYSM


pratush dev

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Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

Anti-aging claims should not ever be believed. There is no supplement, medication, or any other substance that has been proven to slow or stop the aging process.

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