PAT 20A/B Chapter Notes - Chapter 8--12: Liver Function Tests, Transdermal Patch, Lipid-Lowering Agent
22 Dec 2015
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Hcp prescribes antihyperlipidemic lovastatin (mevacor) 20 mg po daily. Note: 200 mg/dl > is desirable for serum cholesterol but medical interventions not initiated for levels under 240 mg/dl. If between 200-240 mg/dl, advise to begin lifestyle modifications. Note: current guidelines state that hdl less than 50 mg/dl for women too low to safeguard the arteries. With antihyperlipidemics, remember: report side effects i. e. rhabdomyolysis. Possible drug interactions can occur i. e. with erythromycin. Education should include side effects such as incr. in liver enzymes (liver function tests = lsts), rhabdomyolysis, and cns effects. Walking into clinic on very hot day, reports experiencing chest pain. Assessment and ecg, diagnosed with stable angina. Receives two prescription: nitroglycerin 0. 2 mg/hr transdermal patch. Apply every a. m. , and remove at bedtime daily: nitroglycerin 0. 3 mg sublingual prn for chest pain. Nitroglycerin tablets should tingle slightly if they"re fresh. Should not be exposed to light or air.
