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Author Question: A patient with a history of elevated triglycerides and LDL cholesterol begins taking nicotinic acid ... (Read 29 times)

itsmyluck

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on: Jul 23, 2018
A patient with a history of elevated triglycerides and LDL cholesterol begins taking nicotinic acid Niacin. The patient reports uncomfortable flushing of the face, neck, and ears when taking the drug. What will the nurse advise the patient?
 
  a. Ask your provider about taking an im-mediate-release form of the medication.
  b. Ask your provider about assessing your serum uric acid levels which may be ele-vated.
  c. You should stop taking the Niacin im-mediately since this is a serious adverse effect.
  d. You should take 325 mg of aspirin a half hour before each dose of Niacin to prevent this effect.

Question 2

A patient received 500 mg of azithromycin Zithromax at 0800 as a first dose. What are the usual amount and time of the second dose of azithromycin?
 
  a. 250 mg at 2000 the same day
  b. 500 mg at 2000 the same day
  c. 250 mg at 0800 the next day
  d. 500 mg at 0800 the next day


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abro1885

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Intense flushing of the face, neck, and ears occurs in practically all patients taking nicotinic acid in pharmacologic doses. Patients should be advised to take 325 mg of ASA 30 minutes prior to each dose to minimize this effect or to use an extended-release form of the drug. Serum uric acid levels may increase with Niacin use, but flushing does not indicate elevated levels. This side ef-fect is not serious and does not warrant discontinuation of the drug.

Answer to Question 2

C
Azithromycin generally is given as 500 mg on the first day and then 250 mg/day for the next 4 days, so the second dose would be 24 hours after the first dose.


itsmyluck

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


abro1885

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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