retired airline pilot
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| A. lactulose and oral potassium |
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0 |
0% |
| B. propranolol and inhaled albuterol |
rajanireddy11, drxyz |
2 |
8% |
| C. propranolol and isosorbide dinitrate |
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0 |
0% |
| D. spironolactone and hydrochlorothiazide |
numita |
1 |
4% |
| E. spironolactone and oral potassium |
Drtweetie, egomez2001, hanwin, starcraftbw, dr_singh246, doc081, Egypt2000, useless, Doc750, saton, kpmle2, das2007, laura.petrescu, usmle12, xad, jvo_md, Justice, PGI2alpha, CocaCola, Hypercube |
20 |
83% |
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| Author | 6 Posts |
skinyballs
Forum Junior
Topics: 14
Posts: 26
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A 63-year-old retired airline pilot comes to the office for a first time visit. He is switching primary care doctors because he is very unhappy with the care that he had been getting elsewhere. He brings his medical records with him and you see that he has long-standing cirrhosis due to previous alcohol abuse and he has documented portal hypertension. He has no history of gastrointestinal bleeding. He has a very long medication list. He tells you that his pharmacist told him that his medications "were wrong" and that his doctor was prescribing drugs improperly. He is understandably very concerned. You review his medication list with him. You find a number of medication incompatibilities. To prevent disability from this situation, he should be advised to discontinue
A. lactulose and oral potassium
B. propranolol and inhaled albuterol
C. propranolol and isosorbide dinitrate
D. spironolactone and hydrochlorothiazide
E. spironolactone and oral potassium
Edited by new_n_lost on 09/03/07 - 12:12 PM. Reason: Ads Not Allowed in Posts
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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spinolactone increases K+ so you don't need oral K+
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| hanwin
Forum Senior
Topics: 6
Posts: 157
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e
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
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E
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| Justice
Forum Guru
Topics: 98
Posts: 1,772
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E. spironolactone and oral potassium
___________________
Don't live in a town where there are no doctors
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| dermdoc57
Forum Junior
Topics: 4
Posts: 79
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Infact this patient does not need A,B,C AND E.He does not have hepatic encephalopathy at this time.He needs spironolactone as it is diuretic of choice in ascites.HCTZ will take care of potassium.
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