This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with ulcerative colitis takes 30 mg of methylprednisolone (Medrol) daily. The primary care ... (Read 76 times)

fahad

  • Hero Member
  • *****
  • Posts: 570
on: Jul 24, 2018
A patient with ulcerative colitis takes 30 mg of methylprednisolone (Medrol) daily. The primary care NP sees this patient for bronchitis and orders azithromycin (Zithromax). The NP should:
 
  a. order intramuscular (IM) methylprednisolone.
  b. temporarily decrease the dose of methylprednisolone.
  c. change the dosing of methylprednisolone to 15 mg twice a day.
  d. stop the methylprednisolone while the patient is taking azithromycin.

Question 2

A patient who has rheumatoid arthritis begins taking naproxen (Naprosyn) 500 mg once daily for pain. After 1 week, the patient calls the primary care NP to report no change in inflammation. The NP should:
 
  a. change the medication to tramadol.
  b. change the medication to ketorolac (Toradol).
  c. increase the dose of naproxen to 1000 mg daily.
  d. counsel the patient that pain relief may not occur for another week.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

akudia

  • Sr. Member
  • ****
  • Posts: 347
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
When given concurrently with macrolide antibiotics, methylprednisolone clearance is reduced, so a smaller dose of methylprednisolone is needed. IM administration does not affect clearance of the drug. Changing the dose to twice-daily dosing is not recommended. Stopping the drug abruptly is not recommended.

Answer to Question 2

D
The analgesic effect of NSAIDs should be noticed within 1 to 4 hours of administration. However, the full antiinflammatory effect will not be apparent until after a few weeks. Tramadol and ketorolac are used for severe pain. It is not necessary to increase the dose of naproxen.


fahad

  • Member
  • Posts: 570
Reply 2 on: Jul 24, 2018
Excellent

brbarasa

  • Member
  • Posts: 308
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Medication errors are three times higher among children and infants than with adults.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

TEN RULES OF PERFORMANCE IN A REDESIGNED HEALTH CARE SYSTEM TEN RULES OF PERFORMANCE IN A REDESIGNED HEALTH CARE SYSTEM
Patient teaching: abdominal assessment Patient teaching: abdominal assessment
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
The Workout (Primary Conditioning Period) The Workout (Primary Conditioning Period)
Primary steps in fibrinolysis. Primary steps in fibrinolysis.
The motor homunculus: the somatotopic map of the human primary motor cortex. Stimulation of sites in ... The motor homunculus: the somatotopic map of the human primary motor cortex. Stimulation of sites in ...
Video: Appendicitis Animation

For a complete list of videos, visit our video library