Question

20. Which of the following medications, with long-term use, can lead to osteoporosis? a. Glucocorticoids b. Estrogen c. Bronchodilators d. Thiazide diuretics Case 3: Karina, 12-month-old female Note: You may use your cellphone's calculator to complete any calculation questions Subjective: • Patient presents today for an acute visit regarding a cough x5 days Her mom describes it as a whooping sound, and she is worried about whooping cough • Immunization Hx: 3/3 doses of Hepatitis B o 2/2 doses of Rotavirus 03/5 doses of DTP 3/4 doses of HiB o 3/4 doses of PCV13 3/4 doses of IPV • Allergies: Penicillin, Medications: None Objective: • Temperature 98.8F, Ht 30". Wt 22.0 lbs. (10 kg) • The patient has a wet, whooping cough Plan • Rx: Azithromycin 10mg/kg on day 1, and then 5 mg/kg daily on days 2-5 21. While awaiting her culture results, Karina has been prescribed a course of empiric antibiotics. Is there any concern with her being prescribed azithromycin based on her current medication and allergy list at this time? a. Yes b. No 22. How many milligrams (mg) of medication will she be given on day 1 of her prescription? 23. You call Karina's pharmacy and discover that they have in stock an azithromycin solution that has the strength of 200mg/5ml. How many milliliters (ml) of medication will she be given on day 1? 24. How many milliliters (ml) of medication will you need to call into the pharmacy to cover her entire prescription noted above? 25. At what age (or age range) will Karina receive her next DTP immunization if she is to remain on schedule? 26. What type of antibiotic is Azithro 5 / 17 a. Tetracycline b. Penicillin c. Cephalosporin d. Macrolide III

Answer 1

Answer 26:- macrolide antibiotic group (azithromycin)

Answer 22:- 10 mg/ kg * patient weight

10*10=(100mg)

Answer 23:- formula :- Desire dose/ available dose * Quantity

= 100*5/200

= (2.5 ml)

Answer 24 :- total mg require is first day 100 mg

2-5day is (100mg - 250 mg)(5*10=50 mg par day)

Answer 21:- No

Answer 20:- A (Glucocorticoids)