What is the drug of choice for an older adult or a patient with ...

[bclement10]

What is the drug of choice for an older adult or a patient with hepatic or renal impairment?
 
  A) Baclofen
  B) Carisoprodol
  C) Chlorzoxazone
  D) Cyclobenzaprine

Question 2

A patient, diagnosed with asthma, has been prescribed tiotropium (Spiriva). What should the nurse teach the patient about this drug? (Select all that apply.)
 
  A) It makes you fatigued.
  B) You need to stay out of direct sunlight.
  C) It is an anticholinergic.
  D) You only need to take it once a day.
  E) It has a rapid onset of action and a long duration.

[britb2u]

Answer to Question 1

B
Feedback:
Carisoprodol is the centrally acting skeletal muscle relaxant of choice for older patients and for those with hepatic or renal impairment. Although the other options may be prescribed, older adults are more likely to experience the adverse effects associated with the drug.

Answer to Question 2

C, D, E
Feedback:
Tiotropium is the first drug approved for once-daily maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Patients who cannot tolerate the sympathetic effects of the sympathomimetics might respond to the anticholinergic drugs ipratropium (Atrovent) or tiotropium. Tiotropium has a rapid onset of action and a long duration, with a half-life of 5 to 6 days. Tiotropium is not associated with fatigue or photosensitivity.

[bclement10]

Thank you!

[britb2u]

Always glad to help...