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Author Question: A patient comes to the clinic for a physical examination 2 weeks after a last dose of clozapine ... (Read 65 times)

washai

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on: Jul 24, 2018
A patient comes to the clinic for a physical examination 2 weeks after a last dose of clozapine (Clozaril). The primary care NP should:
 
  a. order a CBC with differential.
  b. obtain serum lipids and LFTs.
  c. obtain a serum clozapine level.
  d. assess for orthostatic hypotension.

Question 2

A patient with a diagnosis of peptic ulcer disease asks the primary care NP about nonpharmacologic treatment. Which statement by the NP is correct?
 
  a. You should consume a diet that is high in fiber.
  b. One or two cups of coffee each day won't hurt you.
  c. Alcoholic beverages are strictly prohibited when you have an ulcer.
  d. Lifestyle changes and proper diet may eliminate the need for medication.


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yifu223

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Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Clozapine presents a significant risk for agranulocytosis, and leukocytes should be monitored before starting treatment, weekly during treatment, and weekly for at least 4 weeks after discontinuing treatment.

Answer to Question 2

A
Balanced meals consumed at regular times that are high in fiber are encouraged. Caffeine increases acid secretion and should be avoided. Patients may consume alcohol in moderation. Although lifestyle changes and proper diet are an integral part of treatment for peptic ulcer disease, they do not eliminate the need for medications.


washai

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


yifu223

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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