Li takes theophylline for his persistent asthma and calls the office with a complaint of nausea, vomiting, and headache. The best advice for him would be to:
1. Reassure him this is probably a viral infection and should be better soon
2. Have him seen the same day for an assessment and theophylline level
3. Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
4. Order a theophylline level at the laboratory for him
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Question 2
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going to start the Atkin's diet for weight loss. The appropriate response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to increased excretion of theophylline.
4. Decrease his theophylline dose because a high-protein diet may lead to elevated theophylline levels.
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