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

Author Question: A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium ... (Read 66 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
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).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

whitcassie

  • Sr. Member
  • ****
  • Posts: 298
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

  • Member
  • Posts: 531
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

AngeliqueG

  • Member
  • Posts: 343
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

According to animal studies, the typical American diet is damaging to the liver and may result in allergies, low energy, digestive problems, and a lack of ability to detoxify harmful substances.

Did you know?

The first-known contraceptive was crocodile dung, used in Egypt in 2000 BC. Condoms were also reportedly used, made of animal bladders or intestines.

Did you know?

Recent studies have shown that the number of medication errors increases in relation to the number of orders that are verified per pharmacist, per work shift.

The U.S. Long-Term Ecological Research (LTER) network. The U.S. Long-Term Ecological Research (LTER) network.
Deliver abdominal thrusts to the supine unconscious patient. Deliver abdominal thrusts to the supine unconscious patient.
Hormones acting through the brain help regulate metabolism and short- and long-term appetite. Hormones acting through the brain help regulate metabolism and short- and long-term appetite.
Pharmacologic Management of Renal Failure Pharmacologic Management of Renal Failure
Weight management is such a hot topic in the United States that it is frequently Weight management is such a hot topic in the United States that it is frequently
The Hotair long noncoding RNA regulates chromatin The Hotair long noncoding RNA regulates chromatin
Video: Calvin cycle (The light-independent reactions )

For a complete list of videos, visit our video library