A patient taking atorvastatin reports new severe muscle pain, weakness and dark-coloured urine. Which action should the nurse take?
Correct answer: D. Instruct the patient to stop and contact the prescriber promptly
- A. Advise extra exercise and observe symptoms
- B. Tell the patient to take the next dose early
- C. Ask the patient to increase dietary potassium
- D. Instruct the patient to stop and contact the prescriber promptly
Explanation
Severe muscle pain, weakness and dark urine may indicate statin-associated muscle injury with possible rhabdomyolysis. The medicine should not be taken again until the prescriber gives advice; increased exercise or potassium will not treat this adverse effect.
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Non-communicable diseases include cardiovascular disease, diabetes, cancer, chronic respiratory disease and other long-term conditions linked to genetic, behavioral and environmental factors. The focus is on modifiable risk factors, screening, early detection, lifestyle counselling, treatment adherence, rehabilitation and the levels of prevention, rather than infection control.
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