Answer to Question 1
Correct Answer: 1
The use of medications for erectile dysfunction is contraindicated for the patient who is taking medications used to manage cardiac conditions. Sildenafil (Viagra) and vardenafil (Levitra) should not be taken by men who are also taking nitrate-based drugs. Tadalafil (Cialis) should not be taken if the man is also taking nitrates. Discontinuing cardiac drugs is not advisable. A behavioral health consult would not be the first or primary suggestion in this case as physical issues should be explored.
Answer to Question 2
Correct Answer: 1
When managing an erectile dysfunction condition, the least invasive treatments should be employed first. The least invasive measure would be to provide or offer information about the O ring, which is a small band placed on the base of the penis that helps to maintain an erection. Since the patient has coronary artery disease, it is assumed that the patient might be prescribed nitroglycerin for transient chest pain. Erectile dysfunction medications would be contraindicated in this case. Penile implant surgery may not be an option due to this patient's physical health and is an invasive procedure. Other options should be considered first, before surgery is considered.
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Positioning the Patient in the Fowler’s Position
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Pneumonia patient’s chest x-ray. Note the irregular areas of density.