This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with asthma and depression develops stable angina. In addition to organic nitrites, which ... (Read 27 times)

joe

  • Hero Member
  • *****
  • Posts: 627
on: Jul 23, 2018
A patient with asthma and depression develops stable angina. In addition to organic nitrites, which other medications will be used to treat this condition? (Select all that apply.)
 
  a. ACE inhibitors
  b. Antiplatelet drugs
  c. Beta blockers
  d. Calcium channel blockers
  e. Cholesterol-lowering drugs

Question 2

A patient with angina who is taking ranolazine (Ranexa) has developed a respiratory infection and a dysrhythmia.
 
  The provider has ordered azithromycin (Zithromax) for the infection and amlodipine for the dysrhythmia. A nursing student caring for this patient tells the nurse that the patient's heart rate is 70 beats per minute, and the blood pressure is 128/80 mm Hg. The nurse asks the student to discuss the plan for this patient's care. Which action is correct?
  a. Observe the patient closely for signs of respiratory toxicity.
  b. Question the order for azithromycin (Zithromax).
  c. Report the patient's increase in blood pressure to the provider.
  d. Request an order for a different calcium channel blocker.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Leostella20

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, B, D, E
ACE inhibitors have shown benefit in reducing the incidence of adverse outcomes in patients with coronary artery disease (CAD) and are recommended as part of therapy. Antiplatelet drugs are recommended to reduce the risk of thrombus formation. CCBs are used as adjuncts to nitroglycerin and are safe in patients with asthma and depression. Cholesterol-lowering drugs are recommended to help slow the progression of CAD. Beta blockers are not recommended in patients with asthma or depression.

Answer to Question 2

ANS: B
Agents that inhibit CYP3A4 can increase levels of ranolazine and also the risk of torsades de pointes. Macrolide antibiotics, such as azithromycin, are CYP3A4 inhibitors. Respiratory toxicity is not an expected effect with this patient. The patient's blood pressure is not elevated enough to notify the provider. Amlodipine is the only CCB that should be used with ranolazine.


joe

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

bimper21

  • Member
  • Posts: 309
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal
Mechanisms of Action of Drugs Used to Treat Angina Mechanisms of Action of Drugs Used to Treat Angina
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
Geriatric Depression (Mood Assessment) Scale Geriatric Depression (Mood Assessment) Scale
Anti-Inflammatory Drugs for Asthma and COPD Anti-Inflammatory Drugs for Asthma and COPD
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Video: Type of Transport - Active and Passive Processes

For a complete list of videos, visit our video library