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Many patients self-medicate with antacids. Which patients should be
counseled to not take calcium carbonate antacids without discussing it with
their provider or a pharmacist first?
1. Patients with kidney stones
2. Pregnant patients
3. Patients with heartburn
4. Postmenopausal women - 🧠 ANSWER ✔✔patient with kidney stones
Patients taking antacid should be educated regarding these drugs,
including letting them know that:
a. they may cause constipation or diarrhea
,b. many are high in sodium
c. they should separate antacids from other medications by 1 hr
d. all of the above - 🧠 ANSWER ✔✔d. all of the above
Kelly has diarrhea and is wondering if she can take loperamide (Imodium)
for the diarrhea. Loperamide:
1. Can be given to patients of all ages, including infants and children, for
viral gastroenteritis
2. Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
3. Is the treatment of choice for the diarrhea associated with E. coli 0157
4. May be used in pregnancy and by lactating women - 🧠 ANSWER ✔✔2.
Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Bismuth subsalicylate (Pepto-Bismol) is a common OTC remedy for
gastrointestinal complaints. Bismuth subsalicylate:
a. may lead to toxicity if taken with aspirin
b. is contraindicated in children with flu-like illness
c. has antimicrobial effects against bacterial and viral enteropathogenesis
d. all above - 🧠 ANSWER ✔✔d. All above
, Hannah will be traveling to Mexico with her church group over spring break
to build houses. She is concerned she may develop traveler's diarrhea.
Advice includes following normal food and water precautions as well as
taking:
1. Loperamide four times a day throughout the trip
2. Bismuth subsalicylate with each meal and at bedtime
3. A prescription for diphenoxylate with atropine to use if she gets diarrhea
4. None of the above - 🧠 ANSWER ✔✔2. Bismuth subsalicylate with each
meal and at bedtime
Josie is a 5-year-old patient who presents to the clinic with a 48-hour
history of nausea, vomiting, and some diarrhea. She is unable to keep
fluids down and her weight is 4 pounds less than her last recorded weight.
Besides IV fluids, her exam warrants the use of an antinausea medication.
Which of the following would be the appropriate drug to order for Josie?
1. Prochlorperazine (Compazine)
2. Meclizine (Antivert)
3. Promethazine (Phenergan)
4. Ondansetron (Zofran) - 🧠 ANSWER ✔✔4. Ondansetron (Zofran)
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