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Author Question: A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium ... (Read 39 times)

ts19998

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on: Jul 24, 2018
A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium bicarbonate (Alka-Seltzer) to help with occasional heartburn. The primary care NP should tell the patient to:
 
  a. change to aluminum hydroxide (Amphojel).
  b. use magnesium hydroxide (Milk of Magnesia) instead.
  c. continue using sodium bicarbonate (Alka-Seltzer) as needed.
  d. take calcium carbonate (Tums) instead of sodium bicarbonate (Alka-Seltzer).

Question 2

A patient who is newly diagnosed with schizophrenia is overweight and has a positive family history for type 2 diabetes mellitus. The primary care NP should consider initiating antipsychotic therapy with:
 
  a. ziprasidone (Geodon).
  b. olanzapine (Zyprexa).
  c. risperidone (Risperdal).
  d. chlorpromazine (Thorazine).


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whitcassie

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

D
Sodium bicarbonate is not suitable for long-term use because of side effects. Calcium carbonate requires monitoring when used long-term but has the highest acid-neutralizing capacity. Antacids containing aluminum and magnesium can cause electrolyte imbalances.

Answer to Question 2

A
Many antipsychotics increase the risk of metabolic syndrome in patients. Ziprasidone does not have effects on weight. The other agents all increase the risk of weight gain and metabolic syndrome.


ts19998

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Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

Bigfoot1984

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Reply 3 on: Yesterday
Wow, this really help

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