15 Jan Patients with allergic rh

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1. Question : Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first?

Patients with kidney stones

Pregnant patients

Patients with heartburn

Postmenopausal women

Question 2. A patient with a COPD exacerbation may require:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta 2 agonists

Leukotriene therapy

Question 3.

When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows:

Montelukast twice a day is started when there is an asthma exacerbation.

Patients may experience weight gain on montelukast.

Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.

Lethargy and hypersomnia may occur when taking montelukast.

Question 4.

Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is:

Eggs

Honey Dew

Chocolate

Chicken

Question 5. Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide:

Can be given to patients of all ages, including infants and children, for viral gastroenteritis

Slows gastric motility and reduces fluid and electrolyte loss from diarrhea

Is the treatment of choice for the diarrhea associated with E. coli 0157

May be used in pregnancy and by lactating women

Question 6.

Patients with allergic rhinitis may benefit from a prescription of:

Fluticasone (Flonase)

Cetirizine (Zyrtec)

OTC cromolyn nasal spray (Nasalcrom)

Any of the above