15. Justus is a 55-year-old attorney being treated with lovastatin (Mevacor) for

Question

15. Justus is a 55-year-old attorney being treated with lovastatin (Mevacor) for hyperlipidemia. His current health status includes mild hypertension and a pep- tic ulcer. The nurse knows that niacin is frequently prescribed as an adjunct to other antilipemic drugs. Would niacin be helpful for Justus? Explain your answer 16. You are visiting Mrs. N., a homebound patient who is being treated for hyperlipidemia and hyperten- sion. During your visit, Mrs. N. takes her antihyper- tensive medication and then begins to mix her dose of cholestyramine into a glass of orange juice. What patient teaching does Mrs. N. require?

Explanation / Answer

15. No. Niacin will not be helpful for Justus.

Niacin may increase the risk of bleeding,Justus already diagnosed with stomach ulcer(peptic ulcer) where niacin is not advisable.

16. Mrs. N needs an advice on

1.drug interaction of antihypertensives and cholestyramine powder along with fruit juice.

2.proper time planing for both medicines.

After taking cholestyramine there should be a time gap of minimum 4-6 hours to take another medicine,since it may affect the effectiveness of drug.

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