A 55-year-old patient presents at the emergency department ...

[michelleunicorn]

A 55-year-old patient presents at the emergency department complaining of chest tightness and difficulty breathing. The patient tells the nurse he had immune sera earlier that day at the clinic.
 
  What does the nurse suspect is happening with this patient? A) Delayed hypersensitivity reaction
  B) An allergic reaction to the immune sera
  C) Serum sickness
  D) The response of the body to the immune sera

Question 2

When the nurse administers an oral combination drug called Metaglip, what doses of the two medications are being administered?
 
  A) 2.5 mg glipizide, 500 mg metformin
  B) 1.25 mg glyburide, 250 mg metformin
  C) 5 mg glipizide, 250 mg metformin
  D) 4 mg rosiglitazone, 500 mg metformin

[whitcassie]

Answer to Question 1

B
Feedback:
Adverse effects can be attributed either to the effect of immune sera on the immune system (e.g., rash, nausea, vomiting, chills, fever) or to allergic reactions (e.g., chest tightness, falling blood pressure, difficulty breathing). Local reactions (e.g., swelling, tenderness, pain, muscle stiffness at the injection site) are very common. Serum sickness would manifest with fever, arthritis, flank pain, myalgia, and arthralgia.

Answer to Question 2

A
Feedback:
Metaglip is a combination of 2.5 mg glipizide with 250 or 500 mg metformin or 5 mg glipizide and 500 mg metformin. Glucovance is a combination of 1.25 mg glyburide with 250 mg metformin, 2.5 mg glyburide with 500 mg metformin, and 5 mg glyburide with 500 mg of metformin. Avandamet is a combination of 1, 2, or 4 mg rosiglitazone with 500 mg metformin.

[michelleunicorn]

Thank you!

[whitcassie]

Always glad to help...