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 19 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
:D TYSM

ultraflyy23

  • Member
  • Posts: 312
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Introduction to Organic Compounds Introduction to Organic Compounds
Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Isotopes may be stable or radioactive depending on the arrangement and number of neutrons in the nuc Isotopes may be stable or radioactive depending on the arrangement and number of neutrons in the nuc
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Anti-Inflammatory Drugs for Asthma Anti-Inflammatory Drugs for Asthma
An electrician charges a flat fee of $90 for a home service call. In addition he charges $25 ... An electrician charges a flat fee of $90 for a home service call. In addition he charges $25 ...
Video: Peptide Bond Formation Animation

For a complete list of videos, visit our video library