This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who is obese and has hypertension is taking a thiazide diuretic and develops gouty ... (Read 82 times)

cool

  • Hero Member
  • *****
  • Posts: 570
on: Jul 24, 2018
A patient who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis, which is treated with probenecid.
 
  At a follow-up visit, the patient's serum uric acid level is 7 mg/dL, and the patient denies any current symptoms. The primary care NP should discontinue the probenecid and: a. prescribe colchicine.
  b. prescribe febuxostat.
  c. tell the patient to use an NSAID if symptoms recur.
  d. counsel the patient to report recurrence of symptoms.

Question 2

A patient who is newly diagnosed with type 2 diabetes mellitus has not responded to changes in diet or exercise. The patient is mildly obese and has a fasting blood glucose of 130 mg/dL. The patient has normal renal function tests.
 
  The primary care NP plans to prescribe a combination product. Which of the following is indicated for this patient? a. Metformin/glyburide (Glucovance)
  b. Insulin and metformin (Glucophage)
  c. Saxagliptin/metformin (Kombiglyze)
  d. Metformin/pioglitazone (ACTOplus met)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dajones82

  • Sr. Member
  • ****
  • Posts: 359
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Colchicine is a first-line drug for preventing acute attacks. Because this patient has three risk factors, a preventive medication should be used. Febuxostat is a second-line preventive medication. The patient should not be treated on an as-needed basis.

Answer to Question 2

A
Obese patients with normal renal function and elevated fasting plasma glucose may be started on a combination of metformin and a second-generation sulfonylurea.


cool

  • Hero Member
  • *****
  • Posts: 570
Reply #2 on: Jul 24, 2018
Thanks


dajones82

  • Sr. Member
  • ****
  • Posts: 359
Reply #3 on: Jul 24, 2018
Welcome :)


« previous next »
 

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

In 1886, William Bates reported on the discovery of a substance produced by the adrenal gland that turned out to be epinephrine (adrenaline). In 1904, this drug was first artificially synthesized by Friedrich Stolz.

Respiratory Assistive Devices, Patient Using a Peak Flow Meter Respiratory Assistive Devices, Patient Using a Peak Flow Meter
Building competency in patient centered care Building competency in patient centered care
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm. Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
System of a patient in shock System of a patient in shock
Video: Epidural Hematoma

For a complete list of videos, visit our video library