A prescriber has ordered propranolol Inderal for a patient with ...

[Collmarie]

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.

[mochi09]

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]

Thank you!

[mochi09]

Always glad to help...