Question

Scenario:

1. An elderly patient in the hospital for several weeks and has been taking several rounds of different antibiotics including Cephalexin. Recently, the patient developed a new infection and was prescribed Diflucan.

What type of infections is this patient being treated for? Explain your reasoning by citing specifics from the scenario.

2. A hypertensive patient has been treated with Accupril for the last four months. The patient came in for a follow-up in the office, in which his blood pressure was taken, reading was 150/92. Physical examination revealed bilateral lower extremity edema. The doctor prescribed Lasix in addition to continuing the Accupril.

Explain the reasoning behind the doctor prescribing the patient Lasix in addition to the Accupril. Use specifics from the scenario in your response.

3. This patient is being treated with for hypertension using Accupril. Which of the following is an accurate statement of the therapeutic effects of Accupril?

1. a.Accupril decreases blood volume and blood pressure by increasing urination
2. b.Accupril decreases blood pressure by decreasing vasoconstriction of blood vessels  
3. c. Accupril decreases blood pressure by lowering heart rate

d. Accupril decreases blood pressure by lowering the viscosity of the blood 4. This patient has been diagnosed with Thrush. Which medication from this patient’s medication list is being used to treat this condition?    a.       Accupril          b.      Cephalexin      c.       Diflucan          d.      Setraline 5. This patient is being treated for two endocrine disorders. Which medications from the patient’s medication list are used to treat endocrine disorders? a. Simlin and Diflucan             a.       b. Cephalexin and Accupril             c. Sertraline and Levothyroxine             d.Simlin and Levothyroxine 6. A patient’s current medications are listed below. Read the following drug list and answer the questions 1 - 4: Albuterol Lisinopril Metformin Warfarin Spiriva Lasix Which of the following patients would most likely be prescribed Lisinopril? A. A patient with a UTI B. A patient with high blood pressure C. A patient with diabetes mellitus D. A patient with anxiety    7. What drug would be used for someone with asthma? A. Esomeprazole B. Warfarin C. Albuterol D. Metformin           8. Match the following medications to the their function Warfarin Lasix Spiriva Lisinopril Metformin Albuterol A. ACE inhibitor B. Anti-diabetic medication C. Long lasting Bronchodilator D. Anticoagulant E. Bronchodilator F. Diuretic used for CHF

Answer 1

1.The patient is treated for a fungal infection. The drug Diflucan is an antifungal agent.One of the rare side effect or complication of taking Cephalexin is fungal infection (vagina and vulva in the female).This could be the probable cause of the infection.

2.Accupril is an ACE inhibitor which stops the angiotensin 2 actions and decrease the blood pressure by increasing the urination. In this there is excretion of excess sodium by the renal system with retention of potassium.It is kidney friendly.Simultaneously leading to edema. Lasix is a loop diuretics which can increase the elimination of sodium potassium and chloride through urination and decrease the blood pressure.

3.When accupril is taken it goes inside the blood and inhibits the action of angiotensin 2 which is responsible for vasoconstriction in the body and increasing the blood pressure.When this vasoconstriction is stopped from action the blood pressure decreases in the body .

Ans:b.Accupril decreases blood pressure by decreasing vasoconstriction in the blood vessels

4.Accupril is an antihypertensive drug

Cephalexin is an antibiotic which can treat infection caused by bacteria and many microorganisms

Diflucan is indicated in fungal infection.Thrush is an fungal infection usually affecting the genitals

Setralin is an antipsychotic medications specifically used to treat depression

Ans:c.Diflucan