Antipyretic drugs (e.g., aspirin, ibuprofen, acetaminophen) often ...

[notis]

Antipyretic drugs (e.g., aspirin, ibuprofen, acetaminophen) often are used to alleviate the discomforts of fever and to protect vulnerable organs, such as the brain, from extreme elevations in body temperature.
 
  However, the use of aspirin in children is limited due to the possibility of what disease? A) Munchausen's syndrome
  B) Guillain-Barr syndrome
  C) Angelman's syndrome
  D) Reye's syndrome

Question 2

A patient with chronic obstructive pulmonary disease (COPD) presents at the emergency department in acute respiratory distress.
 
  The patient's family tells the nurse that the patient's problems began right after the patient took his or her first dose of ipratropium (Atrovent). What would the nurse suspect is the problem? A) An allergy to milk
  B) Overexertion by the patient
  C) Patient not taking the medications correctly
  D) An allergy to soy products

[patma1981]

Answer to Question 1

D
Feedback:
Salicylates like aspirin are contraindicated for the treatment of childhood fevers because of the risk of Reye's syndrome in children and teenagers. Munchausen's syndrome is an unusual condition characterized by habitual pleas for treatment and hospitalization for a symptomatic but imaginary acute illness. Guillain-Barr syndrome is an idiopathic, peripheral polyneuritis that occurs 1 to 3 weeks after a mild episode of fever associated with a viral infection or with immunization. Angelman's syndrome is an autosomal recessive syndrome characterized by jerky puppet-like movements, frequent laughter, mental and motor retardation, a peculiar open-mouthed facial expression, and seizures. Salicylates like aspirin are not contraindicated for patients with Munchausen's syndrome, Guillain-Barr syndrome, or Angelman's syndrome.

Answer to Question 2

D
Feedback:
The use of ipratropium or tiotropium is contraindicated in the presence of known allergy to the drug or to soy products or peanuts (the vehicle used to make ipratropium an aerosol contains a protein associated with peanut allergies) to prevent hypersensitivity reactions. An allergy to milk is not associated with sensitivity to ipratropium. Overexertion would not cause the patient to develop respiratory distress after using ipratropium for the first time. Misuse of the inhaler would not cause respiratory distress.

[notis]

Thank you!

[patma1981]

Always glad to help...