Susan has stage IIA cancer. Given her current condition, Susan and her doctor agree that pharmacotherapy in conjunction with behavioral changes gives Susan the best chance of quitting and avoiding relapse. What should Susan’s doctor consider before prescribing medication to assist in smoking
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Susan has stage IIA cancer. Given her current condition, Susan and her doctor agree that pharmacotherapy in conjunction with behavioral changes gives Susan the best chance of quitting and avoiding relapse. What should Susan’s doctor consider before prescribing medication to assist in smoking cessation?
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- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”Kickit is a 59-year-old woman who presents to the community pharmacy with complaints of a biased administration at her workplace. A smoking ban at her health care facility will begin in 3 weeks. She states that “I need the income but could work part time to pay the bills. I don’t want to quit smoking. What can you suggest to help me get through my shift without going though nicotine withdrawal? Oh, and don’t suggest those nicotine patches. I tried those in the past and they just made me want to smoke more. Mother died at age 78 of natural causes. Father died at age 61 of aheart attack. Patient is the oldest child of four siblings. All siblings havesmoked cigarettes, but in the past 5 years, two of the siblings have quitsmoking. Son and daughter do not smoke. Twenty-nine-year-old sonhas attention deficit hyperactivity disorder (ADHD). Twenty-five-yearold daughter was hospitalized with a collapsed lung 8 years ago. This pediatric nurse works the night shift (11 PM–7 AM) at a…there's been several ideas for newer opioid medications that may reduce abuse liability, is there any new medications being developed that would be more difficult to abuse that can help abusers of opioids?
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- GF is a regular patient at your pharmacy. His past medical history includes angina, dyslipidemia and hypertension. While picking up his medication this month, he informs you that he had a heart attack last week which was a wake-up call and wants to quit smoking. He reports smoking about 1 pack/day (20 cigarettes) but doesn’t smoke his first cigarette until after he goes to work. Which of the following smoking cessation aids should be avoided at this time? (A) Nicotrol Gum (B) Bupropion (C) Varenicline (D) None of the aboveElla is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days. How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this? Lactate dehydrogenase (LDH) 190 99-191 IU/L Aspartate amino-transferase (AST) 260 12-45 IU/L Alanine aminotransferase (ALT) 76 <34 IU/LElla is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days. Parameter Result Normal Glucose 87 70-99 mg/dL BUN 12 7-22 mg/dL Creatinine 0.71 0.5-1.2 mg/dL Na 141 135-145 mmol/L K 4.9 3.5-5.3 mmol/L Cl 103 98-109 mmol/L CO2 24 22-26 mmol/L Calcium 9.2 8.6-10.2 mg/dL Phosphorus 2.7 2.6-4.9 mg/dL Albumin 3.0 3.2-4.6 g/dL Bilirubin 2.2 0.2-1.2 mg/dL Lactate dehydrogenase (LDH) 190 99-191 IU/L…
