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 35 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
Gracias!

vickyvicksss

  • Member
  • Posts: 351
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Example of a patient statement. Example of a patient statement.
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Video: Otitis Media

For a complete list of videos, visit our video library