A patient with a history of kidney transplant in 2011 consults you in your retail pharmacy for a recommendation for an over-the-counter medication for his back ache. He is currently on tacrolimus 5 mg twice daily, mycophenolate 1,000 mg twice daily, and prednisone 5 mg daily. Which of the following over- the-counter analgesics do you recommend?
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A patient with a history of kidney transplant in 2011 consults you in your retail pharmacy for a recommendation for an over-the-counter medication for his back ache. He is currently on tacrolimus 5 mg twice daily, mycophenolate 1,000 mg twice daily, and prednisone 5 mg daily. Which of the following over- the-counter analgesics do you recommend?
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- with the antibiotic Triamcinolone answer the questions about its use in animals: 1. CLASSIFY IT STEROID / NON-STEROIDAL 2. MENTION IF IT IS ANALGESIC/ ANTIPYRETIC/ ANTI-INFLAMMATORY. 3. WHAT IS THE MECHANISM OF ACTION? 4. SPECIES IN WHICH IT CAN BE USED (animals) 5. RECOMMENDED TIME OF USE 6. CONTRAINDICATIONS OF ITS USE (WHEN IT SHOULD NOT BE ADMINISTERED IN ANIMALS) 7. SIDE EFFECTS 8. ROUTE OF ADMINISTRATION TO BE USED 9. DOSE (DEPENDING ON THE SPECIES (animal) IN WHICH IT IS ADMINISTERED)A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325 1 or 2 tablets Q4-6h prn pain with a quantity of 120. Her expectation was that this would last the patient for one month. The patient is now requesting refills about every 10-14 days. He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”. He also tells the provider he is "constipated so bad it somtimes hurts to sit, bend or walk".A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches ha-e. The nurse’s best response includes which of these features? a )More constant drug le-els for analgesia b )Less constipation and minimal dry mouth c )Less drowsiness than with oral opioids d )Lower dependency potential and no major ad-erse effects
- What is the pathophysiologic mechanism for adrenal insufficiency in this patient? What is the Potential cause of the abnormal DEXA scan in this patient? For which condition has trazodone been subscribed for this patient? Why is this patient taking cyanocobalamin IM?Many adults and older adults use aspirin daily for antiplatelet benefits. What nursing considerations are essentials when working with these patients? What teaching points are important for patients on antiplatelet therapy?Patient is diagnosed with Crohn’s disease and prescribed prednisone 40 mg PO daily for one week, then prednsione 35 mg PO daily for one week. The dosage will be tapered slowly by 5 mg per week until she is receiving 5 mg/day for one week and then the drug will be completely discontinued. When is the best time for this patient to take her prednisone each day, explain?
- Which action is appropriate in prescribing “Trastuzumab”: the doctor or the clinical pharmacist? Explain why?Please put this in layman terms for me. I don't understand what it is saying. The clinical trial is increaseing diabetecs medicine Results: Among 41,233 patients, 33.5% and 45.3% had treatment intensified within 6 and 12 months, respectively. This first intensification was most often with increased index medication dosage (78%), least often with insulin (<1%). HbA1c% was strongly associated with intensification (adjusted hazard ratios [HR] 1.59, 3.62, 4.44, and 5.52 for HbA1c 6.5% to <7%, 7% to <7.5%, 7.5 to <8%, and ≥8%, respectively, all P < 0.001, compared with HbA1c < 6.5%). In patients initially on monotherapy, age modified the HbA1c effect: at HbA1c < 7%, the HR differed little between middle-aged and older patients; at HbA1c ≥ 7%, the HR decreased with older age (e.g., age 40-49 years and HbA1c ≥ 8%: HR 8.14; age ≥ 80 years and HbA1c ≥ 8%: HR 4.44; compared with age ≥ 80 years and HbA1c < 6.5%). Within 1 year, 84.3% achieved HbA1c < 8%; 65.1%…These are the options to choose from mechanism of action on the attached pic. 1. Respiratory depression 2. Analgesia 3. Nausea/Vomiting 4. Reward/Addiction 5. Sedation 6. Constipation 7. Reduced Cortisol 8. Antitussive 9. Pupil Contraction 10. Reduced S*x Hormones 11. Pruritis 12. Euphoria
- Mr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs.A patient has been taking 100mg of tramadol every six hours. He is to be changed to Palladone SR ®(prolonged release Hydromorphone).The following information is extracted from the BNF:Equivalent doses of opioid analgesics.Analgesic/Route DoseCodeine: PO 100 mgDiamorphine: IM, IV, SC 3 mgDihydrocodeine: PO 100 mgHydromorphone: PO 2 mgMorphine: PO 10 mgMorphine: IM, IV, SC 5 mgOxycodone: PO 6.6 mgTramadol: PO 100 mgPO = by mouth; IM = intramuscular; IV = intravenous; SC = subcutaneousYou have 2 mg Palladone SR ® capsules in stock, how many will this patient require per day?unit - capsulesA 20-year old woman presented to your clinic complaining of asthma symptoms occurring once weekly. The recommended treatment for this patient is: A-Short course of oral corticosteroids B-SABA as needed only C-Regular medium dose ICS + (SABA as needed) D-High dose ICS + LABA + SABA E-Regular low dose ICS + (SABA as needed) Which of the following devices is the most appropriate for a 2-year-old child? A-MDI plus a valve-holding chamber without a mask B-Diskus C-Nebulizer D-Ellipta E-MDI