Nr 565 / Nr565 Advanced Pharmacology Final Exam. Questions And Answers.
•A patient who takes NSAIDS almost daily for arthritic pain and refuses to try another medication is at risk for an NSAID-induced ulcer. The provider states, 1. I will put you on Misoprostol once daily 2. If you reduced the NSAID to 4 times a week, that should help prevent an ulcer 3. I will start you a PPI to prevent an ulcer 4. An H2RA will help prevent an ulcer. A PPI is the first-line choice, Misoprostol can cause diarrhea. A young woman who was in a car accident 4 months ago takes NSAIDS for pain-related injuries. She has been dx with an ulcer and taking Misoprostol. She also has found out she is pregnant. What is the providers next steps? Switch her to a PPI d/t possible miscarriage. A patient comes into the clinic with complaints of bloating and abdominal pain for a few weeks. What are appropriate options for treatment? 1.Test for H.Pylori 3. Start patient on a bland diet 2. Lifestyle modifications and H2RA 4. Order endoscopy Lifestyle mod H2RA •A patient has tested positive for H.Pylori what are appropriate treatment options? 1.Start a PPI 2. Start antibiotic for 7 days 3.Start antacids to promote ulcer healing 4. Start antibiotic for 10-14 days Start PPI, Start abx for 10-14. •A pregnant woman comes in asking for GERD medication, what can you recommend? a. Misoprotol b. Sucralafate c. esomeprazole d. diet modifications only e. ranitidine Metoclopramide can be used for (select all that apply) 1.Nausea and vomiting 2.Diabetic gastroparesis 3.Gastroesophageal reflux •What TB medication is not safe for pregnancy? •What constitutes drug resistant TB? •IF a mother is taking isoniazid and rifampin, can she breastfeed? •What to assess if Psyllium does not work? Bulk-forming laxatives Stimulant Osmotic Surfactant MOA
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