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

Author Question: A patient is admitted to the hospital, and the provider orders gemfibrozil (Lopid) 600 mg twice ... (Read 81 times)

a0266361136

  • Hero Member
  • *****
  • Posts: 538
on: Jul 23, 2018
A patient is admitted to the hospital, and the provider orders gemfibrozil (Lopid) 600 mg twice daily, 30 minutes prior to meals. The nurse learns that the patient takes warfarin (Coumadin) once daily.
 
  The nurse will contact the provider to discuss
  a. decreasing the dose of gemfibrozil.
  b. giving the warfarin at noon.
  c. increasing the dose of warfarin.
  d. ordering frequent INR levels.

Question 2

A patient has been taking atorvastatin (Lipitor) for several months to treat hyperlipidemia. The patient reports muscle weakness and tenderness. The nurse will counsel the patient to
 
  a. ask the provider about switching to simvastatin.
  b. contact the provider to report these symptoms.
  c. start taking ibuprofen to combat these effects.
  d. stop taking the medication immediately.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bdobbins

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Gemfibrozil is highly protein-bound and competes for receptor sites with drugs such as warfarin. The anticoagulant dose should be decreased, and the INR should be closely monitored. Decreasing the dose of gemfibrozil is not recommended. Giving the warfarin at a different time of day does not change this drug interaction. The warfarin dose should be decreased not increased.

Answer to Question 2

ANS: B
Patients taking statins should report immediately any muscle aches or weakness, which can lead to rhabdomyolysis, a muscle disintegration that can become fatal. All statins carry this risk, so changing to another statin is not indicated. Ibuprofen may be useful, but notifying the provider is essential. Patients should not abruptly discontinue statins without discussing this with the provider.


a0266361136

  • Member
  • Posts: 538
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

coreycathey

  • Member
  • Posts: 333
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

Many of the drugs used by neuroscientists are derived from toxic plants and venomous animals (such as snakes, spiders, snails, and puffer fish).

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Symptoms of a patient in shock Symptoms of a patient in shock
Scheduling patient appointments by telephone. Scheduling patient appointments by telephone.
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
A physical therapist helping the patient on parallel bars. A physical therapist helping the patient on parallel bars.
Head of a patient with tertiary syphilis. Head of a patient with tertiary syphilis.
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: Transmission Across a Synapse

For a complete list of videos, visit our video library