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Author Question: A patient has been prescribed digoxin (Lanoxin) and furosemide (Lasix) for treatment of congestive ... (Read 107 times)

renzo156

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on: Jul 23, 2018
A patient has been prescribed digoxin (Lanoxin) and furosemide (Lasix) for treatment of congestive heart failure. What is the patient at risk for developing with this combination of medications?
 
  A) Hyperkalemia
  B) Hyperglycemia
  C) Tachycardia
  D) Digoxin toxicity

Question 2

A 50-year-old male is admitted to the emergency room with a head injury after a motorcycle crash. He is unconscious with one eye dilated and one constricted. He has a widened pulse pressure.
 
  What corticosteroid will most likely be administered parenterally? A) Cortisone
  B) Prednisone
  C) Dexamethasone (Decadron)
  D) Fluticasone (Flonase)


mcarey591

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

D
Feedback:
When digoxin and diuretics are used concomitantly, the risk of digoxin toxicity is increased. The patient is at risk for hypokalemia, not hyperkalemia. The patient is not at a particular risk for hyperglycemia or tachycardia.

Answer to Question 2

C
Feedback:
Dexamethasone is considered the corticosteroid of cerebral edema. It is thought to penetrate the bloodbrain barrier more readily and achieve higher concentrations in cerebrospinal fluid. Cortisone is the drug of choice for adrenal insufficiency. Prednisone is the glucocorticoid of choice in nonendocrine disorders in which anti-inflammatory, antiallergic, antistress, and immunosuppressive effects are desired. Fluticasone (Flonase) is administered by oral inhalation.


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renzo156

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Reply #2 on: Jul 23, 2018
TY


mcarey591

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Reply #3 on: Jul 23, 2018
You're welcome


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