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Author Question: A hospitalized patient with Parkinson's disease who is receiving apomorphine to treat off episodes ... (Read 104 times)

ereecah

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on: Jul 23, 2018
A hospitalized patient with Parkinson's disease who is receiving apomorphine to treat off episodes develops nausea and vomiting. The nurse will discuss the use of which medication with the patient's provider?
 
  a. Levodopa Dopar
  b. Ondansetron Zofran
  c. Prochlorperazine Compazine
  d. Trimethobenzamide Tigan

Question 2

A provider has ordered captopril Capoten for a patient who has hypertension. The patient reports a history of swelling of the tongue and lips after taking enalapril Vasotec in the past. Which action by the nurse is correct?
 
  a. Administer the captopril and monitor for adverse effects.
  b. Hold the dose and notify the provider.
  c. Request an order to administer fosinopril instead of captopril.
  d. Reassure the patient that this is not a se-rious side effect.


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Perkypinki

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

D
Trimethobenzamide can be used as an antiemetic in patients treated with apomorphine. Serotonin receptor agonists (eg, ondansetron) and dopamine receptor antagonists (eg, prochlorperazine) cannot be used, because they increase the risk of serious postural hypotension. Levodopa only increases nausea and vomiting.

Answer to Question 2

B
Angioedema is a potentially life-threatening reaction to ACE inhibitors. If a patient has exhibited this reaction with any ACE inhibitor, he or she should not receive ACE inhibitors again. The nurse should hold the medication and notify the provider. Fosinopril is an ACE inhibitor and should not be given.


ereecah

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

Joy Chen

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Reply 3 on: Yesterday
Wow, this really help

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