Chapter 25-drugs used in treating inflammatory processes

Question 1

Henry presents to the clinic with a significantly swollen great toe which is painful. He is diagnosed with gout. I have the following which would be the best treatment for Henry

Answer 1

Low dose colchicine.

Question 2

Patient education when prescribing colchicine Includes

Answer 2

Colchicine always causes some degree of diarrhea

Question 3

Larry is taking allopurinol to prepare. Monitoring of a patient who is taking allopurinol includes

Answer 3

BUN, Creatinine, and creatinine clearance

Question 4

Phil is starting treatment with febuxostat (uloric). Education of patients starting this medication includes

Answer 4

Gout may worsen with therapy

Question 5

Sally has been taking 10 mg per day of prednisone for the past six months. She should be assessed for

Answer 5

Osteoporosis

Question 6

Patients his total dose of prednisone will exceed 1 g will most likely need a second prescription for

Answer 6

Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

Question 7

Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is the prednisone discontinued?

Answer 7

Develop a tapering schedule to slowly wean DANIEL off the prednisone

Question 8

Patients with rheumatoid arthritis Who are on chronic low dose prednisone will need code treatment with which medications to prevent further adverse effects?

Answer 8

Answer: all of the above

A bisphosphonate
Calcium supplementation
Vitamin D

Question 9

Patients who are on Or who will be starting chronic corticosteroid therapy need monitoring of

Answer 9

Serum glucose

Question 10

Patients who are on chronic long-term corticosteroid therapy need education regarding

Answer 10

Reporting black tarry stool‘s or abdominal pain

Question 11

All nonsteroidal anti-inflammatory drugs have an FDA black box warning regarding

Answer 11

Potential for causing life-threatening G.I. bleed’s

Question 12

Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone. Education when prescribing Vicodin includes

Answer 12

He should not take any other acetaminophen containing medications

Question 13

When prescribing NSAIDs a complete drug history should be conducted as NSAID’s interact with these drugs

Answer 13

Warfin, an anticoagulant

Question 14

Josefina is a two-year-old with acute otitis media and upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education will her parent need regarding ibuprofen

Answer 14

Josefina needs to be well hydrated while taking ibuprofen

Question 15

Henry is 82 years old and takes 2 aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?

Answer 15

Add an H2 blocker such as ranitidine to his therapy

Question 16

The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is

Answer 16

4-6 days

Question 17

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is

Answer 17

Tinnitus

Question 18

Monitoring a patient on a high dose aspirin level includes

Answer 18

Salicylate level
CBC
URINE PH

ANS- All-of the above

Question 19

Patients who are on long-term aspirin therapy should have _—

Answer 19

CBC