with breast cancer and spinal metastases. The patient continues to complain of pain despite dose escalation of oxycodone. The nurse practitioner is considering a change of drug from oxycodone to fentanyl. When considering a change of analgesic to another opioid medication, which of the following is true?
artery disease, cerebrovascular accident, T12 compression fracture, and asthma presents with malaise, anorexia, hip and shoulder pain and stiffness, and an inability to rise from a chair, walk, and care for himself. On further questioning, he reports a 3-month history of fatigue, weight loss, and bilateral shoulder and hip stiffness. He recalls feeling relief from these symptoms after self-administration of tapered corticosteroid doses taken during episodes of asthma exacerbation.
On examination, he is afebrile, has limited range of motion of the hips and shoulders, and is unable to raise the right arm laterally above 30 degrees. Point tenderness at the subacromial bursa is noted. His examination is otherwise unremarkable. Brain CT shows no evidence of intracranial hemorrhage or recent infarct.
He receives prednisone (20 mg/day) and exhibits a dramatic subjective and objective improvement after 24 hours. Ten days after the initiation of prednisone, he has no further complaints, and his Westergren sedimentation rate and C-reactive protein levels have decreased to 22 mm/hour and 0.3 mg/L, respectively. His Hgb level has increased to 12.3 g/dL. What is the most likely cause of this patient’s musculoskeletal symptoms?
and feet for the last 2 months. She also has morning stiffness that lasts for about an hour and malaise with night sweats. She denies any hair loss, oral ulcers, or dry eyes. She also denies dry mouth, rash, fever, or discoloration of hands when exposed to cold. She has no history of psoriasis or inflammatory bowel disease.
On physical examination, she has swelling with tenderness in the metacarpophalangeal, proximal phalangeal, and metatarsophalangeal joints. Laboratory tests reveal a hemoglobin of 10.0 g/dL, MCV of 82 fL, and a platelet count of 450,000/μL. Which of the following tests is most specific for establishing the diagnosis?
statin, atorvastatin 10 mg daily, for a 50 year old female patient with no other medical conditions. Which of the following is true?
Which of the following is associated with the MCV?
has 2 elevated late night salivary cortisol levels and 2 elevated urinary free-cortisol tests of 220 and 300 (normal 2-50mg/24 hour); her ACTH level is 55 (normal 5-50pg/mL), and her pituitary MRI shows a 3mm adenoma. Which of the followings is the best next course of action?
you applied in completing the interactive media piece for the psychological disorder you selected (Bipolar disorder). Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.
Analyze how two of the Hispanic
population’s health beliefs and two of the population’s health behaviors are impacted by their culture.
Analyze two health behaviors in the Hispanic population that are impacted by their culture.
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