Question

1. Patient education with Cipro 2. Taking Cipro and the patient has myasthenia gravis...what would you do? 3. What do you pretreat a patient with when giving them amphotericin B? 4. Patient education for those taking amphotericin B 5. How do we prevent nephrotoxicity when a patient is receiving IV Zovirax? 6. What is the preferred treatment of Hep C 7. Understand the symptoms of Diabetic ketoacidosis. 8. What is HA1C? What does it measure? 9. Signs and symptoms of hypothyroidism. 10. Signs and symptoms of Graves Disease 11. What do we do if the patient is taking levothyroxine and warfarin? What do we do with the doses? 12. Patient education about Graves disease and Tapazole. 13. Patient education regarding hypothyroidism and taking levothyroxine 14. Know that HR (Hormone Therapy) increases the risk of stroke and venous thromboembolism. 15. Know about estrogen and how to reduce risk for cardiovascular events. 16. Patient teaching in regards to combination oral contraceptives. 17. Risk for coronary atherosclerosis- which plasma lipoprotein are we most concerned with. 18. Side effects of simvastatin. 19. Patient education for those receiving cholesterol-lowering agents. 20. Patient education for lovastatin. 21. Know the complication of diabetes. 22. What are the clinical presentations of Hyperthyroidism and Hypothyroidism.

Answer 1

1.patient education with Cipro

• when using in adults above 60 years old, those with muscle disorder, kidney or heart disease, the risk for swelling of the tendon.
• take medicine with water and drink extra fluids.
• do not take the drug with dairy products.
• always take medicine on time.
• while taking Cipro, avoid exposure to the sun. (may cause sunburn)

2.

As Cipro cause swelling or tearing of tendon especially Achilles tendon it is contraindicated to those with myasthenia gravis an autoimmune neuromuscular disease characterised by muscle weakness. It may exacerbate symptoms like muscle weakness and breathing problems.

3.

infusion of amphotericin B causes some symptoms like nausea, vomiting, fever, chills, and thrombophlebitis. so some clinicians administer some pretreatment medications to reduce the symptoms. the most commonly used treatment regimens are diphenhydramine, a corticosteroid, acetaminophen, and heparin, which is used alone or in combination. But nowadays it not routinely advocated, instead, treatment is giving after arising symptoms.

4.

• immediate medical help in case of allergic reaction like wheezing,swelling on face etc.
• do not overdose the medicine as it is used in serious fungal infection.
• tell doctor ,if you are taking medication for heart disease, diabetes, electrolyte imbalance, radiation therapy etc.
• inform any any burning, pain, or swelling around the injection site while administering
• duration of injection may take 2-6 hours to complete.
• frequent blood tests is needed to check any abnomalities or electrolyte imbalance.
• skipping may increase the risk of further infection.