The nurse is caring for a group of missionaries who have just returned from a region where malaria is endemic. For which patients, who are undergoing treatment for an ongoing attack of malaria, would mefloquine (Lariam) be contraindicated?
(Select all that apply.)
a. Patients with renal insufficiency
b. Patients with epilepsy
c. Patients with osteoarthritis
d. Patients with a psychiatric disorder
e. Patients with type 2 diabetes
ANS: B, D
Mefloquine is contraindicated in patients who have a history of epilepsy and psychiatric disorders.
Mefloquine is not contraindicated in patients with renal insufficiency, osteoarthritis, or type 2 diabetes.
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