The first one is the correct answer :))
Answer:
4. I will continue my nicotinic acid from the health food store
Explanation:
Further teaching is needed because of drug interaction between cholestyramine and nicotinic acid. Cholestyramine prevent full absorption of Nicotinic acid, therefore continuous intake of this will over load the liver, causing liver damage.
In addition, interaction of the two drugs may lead to liver damage, because nicotinic acids inhibit enzyme for cholesterol synthesis in the liver and aid withdrawal of the deposited cholesterol from the blood,Cholestyramine also works on the liver to remove low -density lipoprotein while increasing levels of high density lipo-protein.Thus putting further strain on the liver.
However, the nurse should summarise that; if the you wish to continue to take nicotinic acid,it should be under the prescription; Cholestyramine should be taken 4-6hrs before or after taken nicotinic acid, although not recommended.
This interaction may also lead to glucose intolerance.
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I hope this helps.
Illustrates the five food groups in a place setting that visually reminds everyone to make healthful food choices.
The correct answer is A, not B.