This topic contains a solution. Click here to go to the answer

Author Question: A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, elevated triglycerides, and a ... (Read 78 times)

Sufayan.ah

  • Hero Member
  • *****
  • Posts: 512
A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, elevated triglycerides, and a history of myocardial infarction. The primary care NP plans to initiate dietary and lifestyle counseling and should consider prescribing:
 
  a. ephedra.
  b. orlistat (Xenical).
  c. phentermine (Adipex-P).
  d. phentermine and topiramate (Onexa).

Question 2

A primary care NP has prescribed phentermine for a patient who is obese. The patient loses 10 lb in the first month but reports that the drug does not seem to be suppressing appetite as much as before. The NP should:
 
  a. discontinue the phentermine.
  b. increase the dose of phentermine.
  c. continue the phentermine at the same dose.
  d. change to a combination of phentermine and topiramate.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Tabitha_2016

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

D
Patients who take Onexa have shown improvement in blood glucose levels and triglyceride levels, so this combination is a good choice for this patient.

Answer to Question 2

A
Tolerance to the effects of phentermine usually develops within a few weeks of starting therapy. When this occurs, the drug should be discontinued, not increased. Phentermine use is not recommended longer than a few weeks.





 

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

For a complete list of videos, visit our video library