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Author Question: An older adult is receiving an antihypertensive drug and a potassium-wasting diuretic on a daily ... (Read 104 times)

awywial

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on: Jul 23, 2018
An older adult is receiving an antihypertensive drug and a potassium-wasting diuretic on a daily basis. Review the following adverse effects and select the one that can be compounded by age-related physical changes in this patient.
 
  a. Confusion and restlessness
  b. Heart failure
  c. Hyperkalemia
  d. Orthostatic hypotension

Question 2

Which of the following statements accurately describes when the problem of polypharmacy in the older adult is least likely to occur?
 
  a. There are a larger number of health problems to be managed.
  b. There are a large number of over-the-counter (OTC) drugs taken.
  c. There are a limited number of health care providers.
  d. There is poorly coordinated patient management.


Mochi

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Orthostatic hypotension caused by antidepressants, antipsychotic drugs, or antihypertensive drugs is more common in older adults who are volume-depleted secondary to diuretic therapy. In addition, potassium-wasting diuretics such as furosemide can cause hypokalemia, which potenti-ates the effects of cardiac glycosides.

Answer to Question 2

ANS: C
Polypharmacy with prescription and OTC drugs is the result of the higher incidence of chronic diseases but also of the prescribing behaviors of multiple health care providers and of poorly co-ordinated patient management.


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awywial

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Mochi

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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