Question

After taking Simvastatin for 2 months, Mr. Booker reports weakness and myalgias in his legs. What would be the Nurse Practitioners next steps and why? Would you order any lab tests? The patient's LDL was 252 prior to starting the medication. Keep in mind that Mr. Booker suffered a myocardial infarction 5 years ago.

Answer 1

The weakness and myalgia isthe side effects of Simvastin.

The nurse practitioner's next step of action is to assess for other side effects.

Prescription of non statin or alternatice drugs like bile acid binding resins ,fibrates,sterols,

The lab test which is to be ordering is asssesing the creatine kinase level to rule out rhabdomyolysis.

CBC ,liver enzymes like SGOT,SGPT ,lipid profile ,renal profile to assess for prognosis and adverse effects.Providing alternative can also reduce the risk of future myocardial infarction.