Author Question: The client has been prescribed a vasodilator for the treatment of heart failure. The nurse knows ... (Read 15 times)

jwb375 · **on:** Jul 23, 2018

The client has been prescribed a vasodilator for the treatment of heart failure. The nurse knows there are two vasodilators used to treat heart failure. Which vasodilators does the nurse anticipate?(Select all that apply.)

1. Hydralazine (Apresoline)
2. Isosorbide dinitrate (Isordil)
3. Lisinopril (Prinivil)
4. Carvedilol (Coreg)
5. Furosemide (Lasix)

Question 2

A client has been prescribed carvedilol (Coreg) to treat heart failure. Which statements are true regarding carvedilol (Coreg) and treatment ofheart failure?(Select all that apply.)

1. Carvedilol (Coreg) should not be used to treat heart failure.
2. Carvedilol (Coreg) has the potential to worsen heart failure.
3. Carvedilol (Coreg) slows the heart rate and decreases blood pressure.
4. Carvedilol (Coreg) is a first-line drug for treating heart failure.
5. Carvedilol (Coreg) should not be used with other medications when treating heart failure.

braelync · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 2

Rationale 1: Hydralazine (Apresoline) is a vasodilator.
Rationale 2: Isosorbide dinitrate (Isordil) is a vasodilator.
Rationale 3: Lisinopril (Prinivil) is an ACE inhibitor.
Rationale 4: Carvedilol (Coreg) is a beta blocker.
Rationale 5: Furosemide (Lasix) is a loop diuretic.

Global Rationale: Hydralazine (Apresoline) is a vasodilator. Isosorbide dinitrate (Isordil) is a vasodilator. Lisinopril (Prinivil) is an ACE inhibitor. Carvedilol (Coreg) is a beta blocker. Furosemide (Lasix) is a loop diuretic.

Answer to Question 2

2, 3

Rationale 1:Carvedilol (Coreg) should not be used to treat heart failure is incorrect because it is used in combination with ACE inhibitors to treat heart failure.
Rationale 2: Carvedilol (Coreg) has the potential to worsen heart failure.
Rationale 3: Carvedilol (Coreg) slows the heart rate and decreases blood pressure.
Rationale 4:Carvedilol (Coreg) is a first-line drug for treating heart failure is incorrect because the first-line drugs are ACE inhibitors and diuretics.
Rationale 5: Carvedilol (Coreg) is used in combination with other agents, usually ACE inhibitors.

Global Rationale:Carvedilol has been found to reduce symptoms of heart failure, slowing the progression of the disease, and increase exercise tolerance when combined with other drugs for heart failure such as ACE inhibitors. Carvedilol's (Coreg) effect in decreasing heart rate and contractility has the potential to worsen heart failure; therefore, dosage must be carefully monitored.