A patient with type 2 diabetes is taking metformin. The fas…
A patient with type 2 diabetes is taking metformin. The fasting glucose levels are in range, but the posprandial glucose is uncontrolled. All of the following drugs would be appropriate to add to the metformin to target postprandial glucose except:
Read DetailsKD is a 63-year-old, 77-kg male with a history of diabetes m…
KD is a 63-year-old, 77-kg male with a history of diabetes mellitus type 2, hypertension, and end-stage renal disease. He is dependent on hemodialysis, and he receives dialysis every Monday, Wednesday, and Friday. Over the past 6 months, he has become more fatigued overall, and tires much more easily during his daily activities. Therapy was initiated with oral ferrous sulfate 325 mg 3 times daily, but KD’s symptoms have not improved. Over the last two weeks, his hemoglobin and hematocrit levels have been low, and he has required two blood transfusions (one each week) after the Wednesday dialysis sessions. His nephrologist is initiating erythropoietin 8000 units subcutaneously every Wednesday. Which factor(s) is (are) critical to consider prior to initiation of erythropoietin therapy?
Read DetailsA 52-year-old man who suffers from angina when he climbs sta…
A 52-year-old man who suffers from angina when he climbs stairs or participates in similar activities receives a prescription for nitroglycerin (glyceryl trinitrate). He is instructed to take a tablet 1 or 2 minutes before he expects to climb stairs to prevent the angina. What is the mechanism of action of nitroglycerin that prevents angina from developing in this patient?
Read DetailsKD is a 63-year-old, 77-kg male with a history of diabetes m…
KD is a 63-year-old, 77-kg male with a history of diabetes mellitus type 2, hypertension, and end-stage renal disease. He is dependent on hemodialysis, and he receives dialysis every Monday, Wednesday, and Friday. Over the past 6 months, he has become more fatigued overall, and tires much more easily during his daily activities. Therapy was initiated with oral ferrous sulfate 325 mg 3 times daily, but KD’s symptoms have not improved. Over the last two weeks, his hemoglobin and hematocrit levels have been low, and he has required two blood transfusions (one each week) after the Wednesday dialysis sessions. His nephrologist is initiating erythropoietin 8000 units subcutaneously every Wednesday. Which factor(s) is (are) critical to consider prior to initiation of erythropoietin therapy?
Read Details