A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
a. 7 year old with a bleeding disorder
b. 21 year old with a sprained ankle
c. 35 year old with a severe headache from hypertension
d. 62 year old with a high fever from an infection
ANS: D
Aspirin is an analgesic, an antipyretic, and an anti-inflammatory medication. The provider wrote the medication to be given for a fever (febrile). Fevers are common in infections. If a child is bleeding, aspirin would be contraindicated; aspirin increases the likelihood of bleeding. Although it can be used for inflammatory problems (sprained ankle) and pain/analgesia (severe headache), this is not how the order was written.
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