Shadow Health Basic Exam Study Guide 2023/2024

SHADOW HEALTH BASIC EXAM STUDY GUIDE 2023/2024 "What is this?"; Let the patient know which medication you are giving & what it is intended to treat. - CORRECT ANSWER-Model Response: This is lisinopril, which you are getting to help control your high blood pressure. "I guess I'm not supposed to take this with food. Is that right?"; This is an opportunity to teach the patient whether this medication should be taken with food. - CORRECT ANSWER-Model Response: Lisinopril can actually be taken with or without food, whatever fits your routine best. What is most important is to take this at the same time everyday. "Is it okay to take this with the blood thinner they're giving me?"; Inform your patient whether there is an interaction between these drugs. - CORRECT ANSWER-Model Response: I'm glad you asked. There is no interaction between these drugs, so it's okay to take them together. It's actually very important to keep your high blood pressure well controlled while you are receiving blood thinners like warfarin and enoxaparin, which means you'll want to keep taking your lisinopril regularly while you are on those medications. "So, this is the Lipitor then?"; Let your patient know about the generic medication he is receiving. - CORRECT ANSWER-Model Response: Yes, this is atorvastatin, which is the generic name for lipitor. I'm giving it to you to help keep your cholesterol levels under control. "So, I just keep taking this stuff and it'll do it's magic for my cholesterol, huh?"; This is an opportunity to educate your patient on the lifestyle adjustments he can make to improve the desired outcomes of this medication. - CORRECT ANSWER-Model Response: To manage your cholesterol levels effectively, it is important to work on this in your lifestyle too. Having a regular exercise regimen, eating a diet that is low in fats, carbohydrates, and alcohols, and not smoking can help this medication do its job. Mr. Larson's general practitioner advised him to take 2g of fish oil per day. The capsules Mr. Larson purchased are 1,000mg. How many fish oil capsules should he take each day? - CORRECT ANSWER-2g x (1,000 mg/ 1 g) x (1 capsule/ 1,000 mg) = 2 capsules per day Before his surgery, Mr. Larson was taking tramadol, prescribed as 50 mg by mouth every 6 hours as needed for pain. If he took it every available dose in a 24-hour period, how many mg tramadol would he ingest? - CORRECT ANSWER-24 hours x (1 dose/ 6 hours) x (50 mg/ 1 dose) = 200 mg tramadol While in the hospital, the orders call for Mr. Larson to take atorvastatin 20 mg, 1 tablet, by mouth once a day. However, the pharmacy only has 10 mg tablets. How many tablets of atorvastatin should be administered to him? - CORRECT ANSWER-(20 mg/ 1 day) x (1 tablet/ 10 mg) = 2 tablets atorvastatin per day While in the hospital, the orders call for Mr. Larson to take lisinopril 10 mg, 1 tablet, by mouth once a day. The pharmacy only stocks 5 mg tablets of lisinopril. How many tablets of lisinopril should be administered to him? - CORRECT ANSWER-(10 mg/ 1 day) x (1 tablet/ 5 mg) = 2 tablets lisinopril per day The Davis's Drug Guide reports a potential drug-drug interaction with acetaminophen and warfarin. If a patient is taking warfarin, more than 2 g/ day of acetaminophen may increase bleeding. Because Mr. Larson is ordered both, he should receive no more than 2 g/ day of acetaminophen. If Mr. Larson takes acetaminophen 325 mg, 2 tablets, by mouth every 4 hours for mild pain, what is the maximum number of tablets you can give him so that he doesn't exceed 2 g/ day? (Assume you will only give him whole tablets) - CORRECT ANSWER2 g x (1000 mg/ 1 g) x (1 tablet/ 162.5 mg) = 12.3 → 12 tablets per day; Error on key: 2 g x (1000 mg/ 1 g) x (1 tablet/ 325 mg) = 6.15 → 6 tablets per day At 0800, Mr. Larson reports a moderate pain level of 5, and so you administer oxycodone 5 mg/ acetaminophen 325 mg, 1 tablet, by mouth. At 1200, Mr. Larson reports mild pain rated 3, so you administer acetaminophen 325 mg, 2 tablets, by mouth. At this point, how much acetaminophen has Mr. Larson taken? - CORRECT ANSWER-Dose 1 = 325 mg acetaminophen x 1 tablet = 325 mg acetaminophen Dose 2 = 325 mg acetaminophen 2 tablets = 650 mg acetaminophen