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Author Question: A patient is admitted to the hospital with severe dehydration and also has decreased albumin levels. ... (Read 88 times)

tsand2

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on: Jul 23, 2018
A patient is admitted to the hospital with severe dehydration and also has decreased albumin levels. What effect will the patient's current status have if a prescribed dose of phenytoin (Dilantin) is administered?
 
  A) Potentially toxic serum level
  B) Reduced serum level
  C) Increased seizure activity
  D) Thromboembolism

Question 2

A patient is being administered phenylephrine in an outpatient clinic. Which of the following conditions requires that phenylephrine be administered cautiously?
 
  A) Cataracts
  B) Hypothyroidism
  C) Diabetes mellitus
  D) Hypertension


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yuyiding

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

A
Feedback:
Phenytoin is highly bound to plasma proteins and only a fraction is not bound to albumin; hypoalbuminemia will result in toxic serum levels of phenytoin. A reduced serum level of phenytoin will not be seen with hypoalbuminemia. The patient will not suffer from increased seizure activity. The patient will not suffer from thromboembolism.

Answer to Question 2

D
Feedback:
Adrenergic mydriatics should be used cautiously in patients with hypertension, cardiac dysrhythmias, arteriosclerotic heart disease, and hyperthyroidism. Patients with cataracts, hypothyroidism, and diabetes mellitus can safely be administered phenylephrine.


tsand2

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

komodo7

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Reply 3 on: Yesterday
Wow, this really help

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