A patient on penicillamine therapy should: 1. have frequent ...

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A patient on penicillamine therapy should:
 
  1. have frequent blood and urine checks to monitor for adverse reactions.
  2. be assessed for changes in vision.
  3. be assessed for trouble breathing.
  4. be assessed for blood in the stool.

Question 2

A 63-year-old patient has had arthritis for 17 years. During this time, she has taken a variety of salicylates, NSAIDs, and other antiinflammatory medications.
 
  She has had progressive deteriora-tion of the right hip, causing pain and limitation of motion and confining her to a wheelchair. The doctor decides to try her on penicillamine. This drug is a: 1. salicylate.
  2. uricosuric.
  3. NSAID.
  4. special antiarthritis medication.

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Answer to Question 1

1
Once a maintenance dosage of penicillamine is reached, the blood and urine follow-up should continue every 2 weeks for 6 months and then monthly thereafter for as long as the patient rece-ives the medication.

Answer to Question 2

4
Penicillamine, a breakdown product of penicillin, is used in the treatment of rheumatoid arthritis. It relieves symptoms of arthritis and in some ways stops the disease progression.

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TYSM

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