The parents of a boy with hemophilia A want to know why their son ...

[CharlieWard]

The parents of a boy with hemophilia A want to know why their son will receive factor replacement on an ongoing basis rather than when needed for bleeding episodes.
 
  They tell the nurse that the boy's grandfather, who had the same disease, received the drug only when he had bleeding. The nurse will give the parents which information about ongoing therapy?
  a. It can reverse progression of the disease.
  b. It is cheaper, because the amounts of the drug used are less.
  c. It is used to minimize pathologic developments in the joints.
  d. It prevents the development of inhibitors.

Question 2

Patients with a history of myocardial infarction should take which medications indefinitely? (Select all that apply.)
 
  a. ACE inhibitors
  b. Alteplase
  c. Aspirin
  d. Beta blockers
  e. Clopidogrel

[ASDFGJLO]

Answer to Question 1

ANS: C
Primary prophylaxis, especially in young children, minimizes bleeding episodes and long-term damage to joints. Ongoing treatment does not reverse the progression of the disease. Ongoing therapy is not less expensive, nor does it prevent the development of inhibitors.

Answer to Question 2

ANS: A, C, D
Patients who have had an MI should take ACE inhibitors, ASA, and beta blockers indefinitely to prevent recurrence and to minimize continuing cardiac remodeling. Alteplase is given during acute management, and clopidogrel is used during acute management and as an adjunct to reperfusion therapy.

[CharlieWard]

TY

[ASDFGJLO]

You're welcome