This topic contains a solution. Click here to go to the answer

Author Question: After reviewing M.G.'s medications, the physician writes the following medication orders. ... (Read 36 times)

notis

  • Hero Member
  • *****
  • Posts: 596
After reviewing M.G.'s medications, the physician writes the following medication orders.
 
  Medication Orders
  Enalapril (Vasotec) 5 mg PO bid
  Carvedilol (Coreg) 3.125 mg PO twice daily
  Glipizide (Glucotrol) 10 mg PO every morning
  Furosemide (Lasix) 80 mg intravenous push (IVP) now, then 40 mg/day IVP
  Potassium chloride (K-Dur) 20 mEq/day PO
 
  What is the rationale for changing the route of the furosemide (Lasix)?

Question 2

How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work to reduce HF? Select all that apply. ACE inhibitors:
 
  a. prevent the conversion of angiotensin I to angiotensin II.
  b. cause systemic vasodilation.
  c. promote the excretion of sodium and water in the renal tubules.
  d. reduce preload and afterload.
  e. increase cardiac contractility.
  f. block sympathetic nervous system stimulation to the heart.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

poopface

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

M.G. is fluid overloaded and needs to decrease fluid volume in a short period. Intravenous
administration is delivered directly into the vascular system, where it can start to work immediately.
In HF, blood flow to the entire gastrointestinal (GI) system is compromised; therefore the absorption
of orally ingested medications may be variable and take longer to work.

Answer to Question 2

Answers: a, b, d
ACE inhibitors prevent the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor.
This results in systemic vasodilation, thereby reducing preload (reducing the volume of blood
entering the left ventricle) and afterload (reducing the resistance to the left ventricular contraction)
in patients with HF. ACE inhibitors do not promote the excretion of sodium and water, and they do
not cause increased cardiac contractility or block the sympathetic nervous system to the heart.




notis

  • Member
  • Posts: 596
Reply 2 on: Jun 25, 2018
Gracias!


kthug

  • Member
  • Posts: 332
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

For a complete list of videos, visit our video library