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

Author Question: A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The ... (Read 25 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
on: Jul 24, 2018
A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The patient has a history of left ventricular systolic dysfunction. The primary care NP should expect this patient to be taking:
 
  a. nadolol (Corgard).
  b. carvedilol (Coreg).
  c. timolol (Blocadren).
  d. propranolol (Inderal).

Question 2

An 80-year-old patient with chronic stable angina has begun taking nadolol (Corgard) 20 mg once daily in addition to taking nitroglycerin as needed. After 1 week, the patient reports no change in frequency of nitroglycerin use.
 
  The primary care nurse practitioner (NP) should change the dose of nadolol to _____ mg _____ daily. a. 40; once
  b. 80; once
  c. 20; twice
  d. 40; twice


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cpetit11

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
The 2012 guides for prevention of cardiovascular disease recommend that B-blocker therapy should be used in all patients with left ventricular systolic dysfunction with heart failure or prior MI. Use should be limited to carvedilol, metoprolol succinate, or bisoprolol.

Answer to Question 2

A
B-Blockers are the treatment of choice for chronic stable and unstable angina. Their therapeutic effect is dose dependent, and drug titration should be based on frequency of angina symptoms and nitroglycerin use. Nadolol should be started at 20 mg daily for elderly patients when treating angina and should be increased by 20 mg every 3 to 7 days if symptoms do not improve. Nadolol is given once daily.


Mr. Wonderful

  • Member
  • Posts: 866
Reply 2 on: Jul 24, 2018
YES! Correct, THANKS for helping me on my review

miss.ashley

  • Member
  • Posts: 371
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Sharing patient information with colleagues is an important nursing role Sharing patient information with colleagues is an important nursing role
The patient interview often requires note taking. The patient interview often requires note taking.
Medical assistants are often involved in confidential conversations between the physician and the pa Medical assistants are often involved in confidential conversations between the physician and the pa
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
The philosophical journey requires self-examination. Your responsibility as a critical thinker is to The philosophical journey requires self-examination. Your responsibility as a critical thinker is to
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: Mechanisms of capillary exchange (transcytosis & bulk flow)

For a complete list of videos, visit our video library