Pharmacology Exam 2 | Latest 2024
What meds would you recommend in the tx of acute symptoms of gout?
-NSAIDs
-cholchicine
-glucocorticoids
Colchicine works well if given w/in the first 24 hours of attack.
What if a patient has gout and chronic kidney disease (which gout
treatment would you want to avoid in this case):
-avoid NSAIDS in chronic kidney disease
-those with peptic ulcers
-those taking anticoagulants
What non-pharmacological interventions could you recommend to
help a patient avoid gout attacks (what triggers should they avoid)? -life style modifications: weight loss, smoking + alcohol cessation
-lower BP by following DASH diet
-increase non-sugary fluid intake
If a physician said a patient's community acquired pneumonia was caused by a virulent pathogen, what is the physician saying about the pathogen?
More virulent pathogens will cause more severe disease
What are risk factors for aspiration pneumonia?
-dysphagia
-change in oropharyngeal bacterial colonization
-GERD
-lowered host defense
-oropharyngeal colonization can be from poor oral care, dental disease, tube feedings and medications
-GERD creates lowered mucosal and cilia production, altered cough reflex and promotion of gram-negative bacilli colonization
What microorganisms would you expect to cause CAP?