Mrs. Clare is complaining of stomach upset with her new ...

[pepyto]

Mrs. Clare is complaining of stomach upset with her new medications. The prescription reads, Must be taken on an empty stomach. Your recommendation includes
 
  a. Just take it with a sip of water; the stomach upset will go away
  b. Drink a minimum of 8 oz of water with each dose
  c. Drink 8 oz of milk with each dose
  d. Stop taking the medication

Question 2

Mr. Bear is hospitalized for treatment of dehydration. His treatment plan includes large amounts of IV fluids. Mr. Bear also takes propranolol (Inderal) for migraines and cimetidine for gastric ulcers.
 
  On rounds, you notice bilateral edema of the lower extremities and edema of the periorbital area. Respirations are 26 . You suspect
  a. A medication reaction
  b. CHF
  c. Impending myocardial infarction
  d. Gout

[meryzewe]

Answer to Question 1

B
Drinking 8 oz of water with the medication may decrease stomach irritation by washing it through the stomach faster. Water is not considered a full stomach.

Answer to Question 2

B
An acute episode of CHF may be caused by increased fluids and beta-blockers (Inderal). Gout (response D) and an impending myocardial infarction (response C) would not create rapid respirations and periorbital edema. A medication reaction might cause periorbital edema and rapid respirations, but it would not normally cause lower extremity edema.

[pepyto]

Excellent

[tuate]

Gracias!