A vet administers Ketoconazole to canine patient for treatment of Blastomycosis and requests a follow up in 2 weeks for bloodwork. Which explanation should the Vet Tech provide the owner in order to explain the importanc
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A vet administers Ketoconazole to canine patient for treatment of Blastomycosis and requests a follow up in 2 weeks for bloodwork. Which explanation should the Vet Tech provide the owner in order to explain the importance of the follow up visit?
a. Ketoconazole may cause vomiting, so sodium and potassium levels need to check
b. Ketoconazole may cause adrenal gland insufficiency, so cortisol levels must be monitored
c. Ketoconazole is nephrotoxic so BUN and Creatinine levels must be monitored
d. Ketoconazole is hepatotoxic, so liver enzymes must be monitored
KETOCONAZOLE IS HEPATOTOXIC, IT’S ESSENTIAL TO MONITOR LIVER ENZYMES THROUGHOUT WHOLE TREATMENT. KETOCONAZOLE CAN CAUSE VOMITING BUT THIS IS USUALLY MANAGED BY SPLITTING THE DAILY DOSE INTO
SMALLER DOSES. KETOCONAZOLE WILL CAUSE ADRENAL GLAND INSUFFICIENCY AND A DECREASE IN CORTISOL LEVELS, BUT THIS IS TRANSIENT AND LEVELS REBOUND AFTER STOPPING TREATMENT. IT’S NOT NEPHROTOXIC THIS IS SEEN WITH ANOTHER ANTIFUNGAL MEDICATION AMPHOTERICIN B.
2. When educating clients on insulin, which explanation is most appropriate?
a. Insulin should always be refrigerated
b. Insulin should always be kept frozen
c. Insulin should be kept at room temperature
d. Shake insulin vial vigorously before administration
CLIENTS SHOULD BE INSTRUCTED TO KEEP INSULIN IN THE REFRIGERATOR BECAUSE IT’S A PROTEIN WHICH MUST
BE KEPT STABLE + IT ALSO PREVENTS BACTERIAL GROWTH. IN ORDER TO MIX INSULIN, IT MUST BE GENTLY ROLLED IN THE HANDS AS OPPOSED TO SHAKEN. INSULIN SHOULD NOT BE FROZEN OR KEPT AT ROOM TEMP. DUE TO THE LOST OF STABILITY. IF STABILITY IS COMPROMISED IT WILL NOT WORK.
3. WHICH TYPE OF SYRINGE DOES NOT HAVE DEAD SPACE AND IS MARKED IN UNITS? a. Insulin
AN INSULIN SYRINGE DOES NOT HAVE DEAD SPACE AND IS MARKED IN UNITS. THESE SYRINGES ARE ONLY USED
FOR ADMINISTERING INSULIN AND CAN DIFFER DEPENDING ON THE INSULIN DELIVERED. MULTI-DOSE, TUBERCULIN AND ECCENTRIC SYRINGES ALL ARE DIVIDED IN MILLILITERS.
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