The nurse is preparing to administer a nonsteroidal ...

[corkyiscool3328]

The nurse is preparing to administer a nonsteroidal anti-inflammatory drug (NSAID) to an older patient. What NSAID is associated with increased toxicity and should be avoided if possible?
 
  A) Naproxen (Aleve)
  B) Ibuprofen (Motrin)
  C) Indomethacin (Indocin)
  D) Etodolac (Lodine)

Question 2

Epinephrine, formerly the drug of choice for acute attacks of bronchoconstriction, has been replaced by what?
 
  A) Short-acting bronchodilators are the drug of choice in this situation.
  B) Nothing has replaced epinephrine as drug of choice in this situation.
  C) Self-administered metered-dose inhalers (MDIs)
  D) Long-acting beta2-adrenergic agonists (LABAs)

[fdliggud]

Answer to Question 1

A
Feedback:
Geriatric warnings have been associated with naproxen, ketorolac, and ketoprofen because of reports of increased toxicity when they are used by older patients. These NSAIDs should be avoided in this population if possible. No such warnings exist for ibuprofen, indomethacin, or etodolac.

Answer to Question 2

B
Feedback:
Epinephrine, the prototype drug, is the drug of choice in adults and children for the treatment of acute bronchospasm, including that caused by anaphylaxis; it is also available for inhalation therapy. Because epinephrine is associated with systemic sympathomimetic effects, it is not the drug of choice for patients with cardiac conditions. Options A, C, and D are not correct.

[corkyiscool3328]

Thanks for the timely response, appreciate it

[amit]

Gracias!