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Author Question: An adult patient with diagnoses of liver cirrhosis and hepatitis C is exhibiting signs and symptoms ... (Read 40 times)

CharlieWard

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on: Jul 23, 2018
An adult patient with diagnoses of liver cirrhosis and hepatitis C is exhibiting signs and symptoms of hypovolemic shock. How will the patient's compromised hepatic function affect the possible use of epinephrine?
 
  A) The patient will require a higher-than-normal dose.
  B) The patient's hepatic function is not a priority consideration.
  C) The patient should not receive epinephrine by a parenteral route.
  D) The patient should receive a small fraction of the normal dose.

Question 2

An 80-year-old patient has been prescribed an anticholinergic agent for treatment of Parkinson-related symptoms. What patient education should be provided?
 
  A) Avoid high environmental temperatures.
  B) Anticholinergics increase mental alertness.
  C) It is safe to take Sudafed for a cold.
  D) You may experience urinary incontinence.


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amcvicar

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

B
Feedback:
Liver disease is not usually considered a contraindication to administering adrenergic drugs. Dosages do not normally need to be adjusted.

Answer to Question 2

A
Feedback:
Anticholinergic drugs decrease sweating and may cause heat stroke. The patient should be instructed to avoid high environmental temperatures. Anticholinergic agents will decrease mental alertness. Sudafed will produce anticholinergic effects and should not be administered. Anticholinergic agents produce urinary retention, not incontinence.


CharlieWard

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


amcvicar

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


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