The anticonvulsant/mood stabilizer medication carbamazepine…

The anticonvulsant/mood stabilizer medication carbamazepine is considered a STRONG inducer of the hepatic enzyme CYP3A4. You would like to prescribe the combined oral contraceptive ethinyl estradiol and desogestrel to a patient. Both ethinyl estradiol and desogestrel are substrates for CYP3A4, which is responsible for phase I metabolism. What outcome would be expected if a patient was administered these medications together?

A 38 y/o female is being treated by her dermatologist for pl…

A 38 y/o female is being treated by her dermatologist for plaque psoriasis. She is new to the clinic and your medical assistant completed her medication history. The following medications were recorded: tazarotene (Tazorac) 0.1 % cream daily methotrexate 7.5 mg daily triamcinolone 0.1 % ointment twice daily colloidal oatmeal bath (Aveeno soothing bath treatment) three times weekly. Which medication is transcribed incorrectly by the medical assistant and should be questioned by the nurse practitioner?

An oncology patient is scheduled to receive an intrathecal m…

An oncology patient is scheduled to receive an intrathecal methotrexate injection (into the cerebrospinal fluid in the spinal cord). The nurse practitioner working with the radiology department is asked by the interventional radiologist when the last dose of enoxaparin (Lovenox) was. Why is the interventional radiologist concerned about the last dose of enoxaparin?

A 57 y/o female sees a nurse practitioner in the office for…

A 57 y/o female sees a nurse practitioner in the office for evaluation of hot flashes, brain fog, slight weight gain, and irritability. She has been on paroxetine with no benefit. She inquires about hormonal therapy today. You would like to start hormone replacement therapy today. What question listed below would be clinically applicable for someone starting on hormone replacement therapy

A 40 y/o asthmatic male presents to the clinic today with wh…

A 40 y/o asthmatic male presents to the clinic today with wheezing and shortness of breath requiring daily use of a reliever inhaler (albuterol). You would like to start him on a maintenance therapy inhaler today. Which inhaler is not recommended as monotherapy treatment for asthma?