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Author Question: A prescriber has ordered propranolol Inderal for a patient with recurrent ventricular tachycardia. ... (Read 79 times)

Collmarie

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on: Jul 23, 2018
A prescriber has ordered propranolol Inderal for a patient with recurrent ventricular tachycardia. The nurse preparing to administer this drug will be concerned about what in the patient's history?
 
  a. Asthma
  b. Exercise-induced tachyarrhythmias
  c. Hypertension
  d. Paroxysmal atrial tachycardia associated with emotion

Question 2

A nurse is providing education about tetracycline Sumycin. Which statement by the patient best demonstrates understanding of the administration of this medication?
 
  a. I should not take this medication with milk or other dairy products.
  b. I should not worry if I experience an ac-nelike rash with this medication.
  c. I should take an antacid, such as Tums, if I experience gastrointestinal distress.
  d. I should take this antibiotic with a cal-cium supplement to improve absorption.


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mochi09

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

A
Propranolol is contraindicated in patients with asthma, because it is a nonselective be-ta-adrenergic antagonist and can cause bronchoconstriction and exacerbate asthma. It is used to treat tachyarrhythmias and paroxysmal atrial tachycardia evoked by emotion, so it is not con-traindicated for patients with these conditions. It lowers blood pressure, so it would be helpful in patients with hypertension.

Answer to Question 2

A
The patient should avoid taking the medication with dairy products to help prevent chelation. An acnelike reaction would indicate an allergic response. Taking the medication with cal-cium-containing antacids or supplements should be avoided, because this also leads to chelation.


Collmarie

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Reply #2 on: Jul 23, 2018
Thank you!


mochi09

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Reply #3 on: Jul 23, 2018
Always glad to help...


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For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

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