A patient who was administered prazosin (Minipress) became ...

[oliviahorn72]

A patient who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. What medications should the nurse prepare for resuscitation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Normal saline
  2. Dobutamine
  3. Atenolol (Tenormin)
  4. Carvedilol (Coreg)
  5. Propranolol (Inderal)

Question 2

The nurse completed medication education with the patient who receives hydrochlorothiazide (Microzide). The nurse determines that teaching has been effective when the patient makes which statement?
 
  1. I really need to avoid grapefruit juice when I take this medication.
  2. I need to avoid salt substitutes and potassium-rich foods.
  3. I take my medication early in the morning.
  4. If I develop a cough, I should call my doctor.

[jgranad15]

Answer to Question 1

1,2
Rationale 1: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Normal saline can be used as a volume expander.
Rationale 2: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Treatment with a vasopressor such as dobutamine may be indicated.
Rationale 3: Atenolol (Tenormin) is an adrenergic blocker and would exacerbate the problem.
Rationale 4: Carvedilol (Coreg) is an adrenergic blocker and would exacerbate the problem.
Rationale 5: Propranolol (Inderal) is an adrenergic blocker and would exacerbate the problem.

Global Rationale: Unconsciousness after the first dose of prazosin (Minipress) is typically due to severe hypotension. Normal saline can be used as a volume expander. Treatment with a vasopressor such as dobutamine may be indicated. Atenolol (Tenormin), carvedilol (Coreg), and propranolol (Inderal) are adrenergic blockers and would exacerbate the problem.

Answer to Question 2

3
Rationale 1: Grapefruit juice inhibits the metabolism of the calcium channel blockers.
Rationale 2: Hydrochlorothiazide (Microzide) is a potassium-excreting diuretic, and potassium supplementation is often necessary.
Rationale 3: Taking hydrochlorothiazide (Microzide) early in the day will help prevent nocturia.
Rationale 4: Development of a cough occurs with ACE inhibitors, not diuretics.
Global Rationale: Taking hydrochlorothiazide (Microzide) early in the day will help prevent nocturia. Grapefruit juice inhibits the metabolism of the calcium channel blockers. Hydrochlorothiazide (Microzide) is a potassium-excreting diuretic, and potassium supplementation is often necessary. Development of a cough occurs with ACE inhibitors, not diuretics.

[oliviahorn72]

TYSM

[parker125]

Excellent