The plasma of half-life of aspirin is t1/2 = 20 minutes; ibuprofen t1/2 = 2 hours. Both agents are dosed q 4 to 6 hours. Compared to ibuprofen, APAP's dosing can be much longer than it's plasma half-life because it is: 1. more toxic, so cannot be taken as often 2. more selective for COX1 than is ibuprofen 3. an irreversible inhibitor
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The plasma of half-life of aspirin is t1/2 = 20 minutes; ibuprofen t1/2 = 2 hours. Both agents are dosed q 4 to 6 hours. Compared to ibuprofen, APAP's dosing can be much longer than it's plasma half-life because it is:
1. more toxic, so cannot be taken as often
2. more selective for COX1 than is ibuprofen
3. an irreversible inhibitor
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- In a placebo-controlled study, 10 healthy subjects were given oral triazolam 0.5 mg before and after rifampicin 600 mg daily for 5 days. Rifampicin reduced the triazolam AUC by 95% and decreased its maximum plasma levels by 88%, when compared with placebo. The elimination half-life was reduced from 2.8 hours to 1.3 hours. Pharmacodynamic tests (drowsiness, sway, Maddox wing, etc.) showed that rifampicin abolished the effects of triazolam.a) Why is the AUC of triazolam reduced in the presence of rifampicin? b) Given the above scenario, if you were to accommodate this situation by dosage adjustment strategies, in the presence rifampicin what dose of triazolam would you have recommended, keeping dosage interval the same as when there was no rifampicin? answer part bThe nurse is preparing to give Acetaminophen to a 5year old girl weighing 20 kg. The doctor has ordered Acetaminophen 240mg PO qehr PRN pain. the safe dose range for acetaminophen is 10-15 MG/KG/dose. What is the low safe amount per dose? [1] What is the high safe amount per dose? (2) is this dose safe to give? (3]Which of the following statements is true? 1- Amphotericin B is free of any known drug interactions. 2-The azole drugs prolong the anticoagulant action of warfarin. 3-The echinocandins produce infusion reactions. 4- It is recommended that the azole itraconazole be administered with pimozide, quinidine, or dofetilide.
- Mrs B presents you with a prescription for warfarin tablets 1 mg. The directions are to take 6 mg at 6pm that evening, followed by alternating daily doses of 4 mg and then 3 mg (as long as her INR remains within the recommended range). What is the exact number of warfarin 1 mg tablets required for a 28 day supply assuming her INR remains in range?Kindly mention the indications for clopidogrel in acute coronary syndrome (ACS). Should it be used along with aspirin or alone if the latter is contraindicated? Are there any studies that combine both with either low-molecular-weight heparin (LMWH) or unfractionated heparin? How long should clopidogrel be continued?Two of the most commonly used NSAIDS are ibuprofen and naproxen. Although they are both classified as "non-selective," they do have significant pharmacological differences. NSAID COX-2 COX-1 Ibuprofen 15 1 Naproxen 1.3 2.2 1. irreversible inhibition of Cox-1 2. increased bleeding 3. reduced joint inflammation
- If the patient is given amlodipine, which of the following would be a possibility at therapeutic doses? [Select all that apply] Decreased HR due to L-type calcium channel inhibition Increased HR due to L-type calcium channel inhibition Decreased blood pressure due to L-type calcium inhibition Decreased HR due to Beta 1 adrenergic receptor inhibitiontablets will you give 3 tablets 11. A client is ordered 100 milligrams of Pehthidine HCL. 50 milligram tablets are available. How many tablets will you give? Etablets 12. A client is ordered 30 milligrams of Codeine phosphate. 60 milligram tablets are available. How many tablets will you give? Stablet 13. A client is ordered 2.5 grams of Neomycin sulphate. 500 milligram tablets are available. How many tablets will you give? 100 d 50cc = 14. A client is ordered 30 milligrams of Diltiazem hydrochloride. 60 milligram tablets are available. How many tablets will you give? 5 tabletPatient Shirley Temple came in today asking for a refill on her medication for Percocet 10 mg one tablet bid. Your doctor has set in place for you to check every narcotic prescription through e-force. Explain the different things you will find on e Force about the patient and her medication use. Do you think that the e force is useful and do you think that there's a possibility that the e-force could fail and how?
- Daisy (7 years old; 30 kg) is admitted to hospital for meningitis and requires a short intravenous infusions of cefotaxime. A dose of 50 mg/kg is recommended every 6 hours for the first 4 days. Only 2 g cefotaxime vials are available. The powder in the vials is dissolved with 4.0 mL of saline. Calculate the volume (in mL to 1 d.p.)of this solution which should be transfered to the 40mL syringe driver for a single infusion.6. The client has progressed to a regula diet and is ordered Humulin N 13 unit and Humulin R 6 units subcutaneous 30 minutes ac breakfast, and Humulin N 5 units and Humulin R 5 units subcuta- neous 30 minutes ac dinner. a. How many units will the client re- ceive before breakfast? b. Indicate on the appropriate syringe given the number of units of each insulin required before breakfast. SIINIKaurenoic acid is an active ingredient found in various plants, including stevia. Scientists investigated the pharmacokinetic profile of 50 mg/kg of kaurenoic acid in rats after intravenous (IV) vs oral administration. The plots below were obtained. Cp(mg/L) 25 20- 15- 10- 0 2 • 4 A 8 Cp(mg/L) 10 25- 20- 15- 6 6 Time (h) Time (h) Comparison of kaurenoic acid plasma decay (dose = 50 mg/kg). (A) Intravenous route. (B) Oral route. 10- 5- 0+ 0 4 B 8 10 The IV plot could be fitted by the equation: Cp = 28 exp(-1.2t) - where Cp (mg/L) is the plasma concentration and t (h) the time after administration of a 50 mg/kg single dose.