NAPLEX Quiz
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PERSON-CENTERED ASSESSMENT AND TREATMENT PLANNING
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A 59-year-old female (weight 73 kg) with rheumatoid arthritis is taking methotrexate 15 mg by mouth once weekly and calls because she has been taking it daily for the past 5 days due to misunderstanding. Current medications: methotrexate 15 mg (intended weekly), folic acid 1 mg by mouth daily, meloxicam 15 mg by mouth daily. Labs: serum creatinine 1.3 mg/dL, alanine aminotransferase 95 U/L (high), white blood cell count 2.8 x103/mcL (low). Allergies: none. Medical history: rheumatoid arthritis. What is the pharmacist's best recommendation for managing this adverse drug reaction?
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