South Dakota Medication Aide Practice Test

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What should be monitored when a patient is taking carbonic anhydrase inhibitors?

Regular blood glucose levels

Heart rate and rhythm

Hydration status and electrolytes

When a patient is taking carbonic anhydrase inhibitors, it is essential to monitor hydration status and electrolytes due to the medications' effects on bicarbonate reabsorption in the kidneys. These medications can lead to metabolic acidosis and cause shifts in electrolyte balances, particularly with potassium and sodium levels.

Since carbonic anhydrase inhibitors promote the excretion of bicarbonate, they can lead to an increase in acidic levels in the body, as well as potentially causing dehydration due to increased urination. This makes it crucial to keep track of both the patient's hydration level to avoid dehydration and their electrolyte levels to prevent imbalances that could lead to significant health issues.

Other parameters, such as blood glucose levels, heart rate, rhythm, and liver function tests, may not have a direct relevance to the core effects of carbonic anhydrase inhibitors, which is primarily focused on renal function and acid-base balance. Therefore, monitoring hydration status and electrolytes is the most pertinent action when managing patients on this medication.

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Liver function tests

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