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PharmacologyChapter 22: Mr. CollinsMr. Collins, age 50, is diagnosed with hyperlipidemia. He is 6' 1" and weighs 258 lbs. He is employed as a manager of a local department store. His exercise consists of work around his yard on weekends, and occasional walks with his family. He states he tries to follow a healthy diet but is inconsistent and can't seem to lose weight. His cholesterol level is 288 mg. He is prescribed Questran (cholestyramine) 4g 1-2 p.o daily .1.According to the American Heart Association, what is the target range for cholesterol level? 2.What is the action of Questran? How does it differ from other lipid lowering drugs?3. What additional teaching is needed for Mr. Collins? Mr. Collins will need to exercise regularly in order to lower his Cholesterol
In addition to a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medicationwork better include exercising, losingweightifoverweight, andstopping smoking. Consult your doctor for more details.Cholestyramine may alsobe used to treat itchinginpeople with too much bile acid caused by a certain type of liver/bile duct disease (partial biliary obstruction).This medication is known as a bile acid-binding resin. It works Constipation, stomach/abdominalpain, gas, nausea, and vomitingmay occur. If any of these effects persist or worsen,tell your doctor or pharmacist promptly.To prevent constipation, eat a diet adequate in fiber, drink plenty of water, andexercise. If you become constipatedwhile using this drug, consult your pharmacist for help in selecting a stool softenerand/or a laxative.Remember that your doctor has prescribed this medication because he or she has judged thatthe benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Before taking cholestyramine, tellyour doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactionsor other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: