PC707 Module 4 Unit B & C Practice Exam 2024

PC707 Module 4 Unit B & C Practice Exam 2024 What is rhabdomyolysis? - Answer ️️ -damaged muscle tissue releases its proteins (myoglobin) and electrolytes into the blood. These substances can damage the heart and kidneys and cause permanent disability or even death. How to recognize rhabdomyolysis - Answer ️️ -Symptoms include dark, reddish urine, a decreased amount of urine, weakness, and muscle aches. Early treatment with aggressive fluid replacement reduces the risk of kidney damage Rhabdomyolysis pt education - Answer ️️ -If mild to moderate muscle symptoms develop during statin therapy, discontinue the statin until the symptoms can be evaluated. Simvastatin greatest risk What is a niacin flush? - Answer ️️ -side effect of taking high doses of supplemental niacin (Vitamin B3) How do we lessen the risk of niacin flush? - Answer ️️ -"start low, go slow", until reaching 1- 1.5 g daily (takes 4-5 weeks to reach this dosage). What antilipidemic drugs are contraindicated in pregnancy? - Answer ️️ -STATINS What anticipatory guidance is needed for a person with functioning uterus and ovaries who is on antilipidemic? - Answer ️️ -Use contraceptives, and if they plan to get pregnant then switch to a antilipdemic that is safe in pregnancy What patients should not use antithrombotics? - Answer ️️ -indwelling epidural catheter, hx of spinal deformity, injury, or surgery, hx of traumatic or repeated epidural/spinal puncture, use of other anticoagulants/antiplatlets. BBW- Anticoagulants - Answer ️️ -Spinal or Epidural Hematoma BBW- Antiplatelets - Answer ️️ -Do not use in poor metabolizer (such as those with varient CYP2C19 gene) as cannot convert to active form leading to cardiovasular events