A patient with a history of benign prostatic hyperplasia is ...

[CharlieWard]

A patient with a history of benign prostatic hyperplasia is admitted to the unit. The patient is taking multiple medications, including terazosin (Hytrin).
 
  During the evening rounds, the patient begins to complain of dizziness and nasal congestion. Upon assessment, the patient is somnolent and has a blood pressure of 101/42 mm Hg. The nurse is correct to suspect:
  a. priapism.
  b. sinus infection.
  c. allergic reaction.
  d. adverse effects.

Question 2

A patient who has erectile dysfunction asks a nurse whether sildenafil (Viagra) would be a good medication for him to take. Which aspect of this patient's history would be of most concern?
 
  a. Benign prostatic hypertrophy
  b. Mild hypertension
  c. Occasional use of nitroglycerin
  d. Taking finasteride

[shayla]

Answer to Question 1

ANS: D
The principal adverse effects of terazosin and doxazosin are hypotension, fainting, dizziness, somnolence, and nasal congestion. No evidence indicates priapism, sinus infection, or an allergic reaction.

Answer to Question 2

ANS: C
Patients taking nitroglycerin should not take sildenafil. Having BPH is not a contraindication. Mild hypertension requires caution but is not a contraindication. Patients with BPH taking finasteride may take sildenafil.

[CharlieWard]

Thanks

[shayla]

Welcome