A client with cardiac disease is prescribed isoproterenol ...

[WhattoUnderstand]

A client with cardiac disease is prescribed isoproterenol (Isuprel). Which medications, if also prescribed to the client, would cause the nurse to question this order?
 
  Standard Text: Select all that apply.
  1. Potassium-wasting diuretic
  2. Cardiotonic
  3. Anticoagulant
  4. Antihyperglycemic
  5. Antibiotic

Question 2

A client is prescribed a medication that is a catecholamine. The nurse will expect the pharmacy to prepare the medication to be administered through which routes?
 
  Standard Text: Select all that apply.
  1. Intravenous
  2. Inhalation
  3. Oral
  4. Topical
  5. Subcutaneous

[karmakat49]

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Isoproterenol (Isuprel) should not be concurrently administered with potassium-wasting diuretics because hypokalemia may result.
Rationale 2: Isoproterenol (Isuprel) may lower serum levels of digoxin and induce dysrhythmias.
Rationale 3: Isoproterenol (Isuprel) does not interact with anticoagulants.
Rationale 4: Isoproterenol (Isuprel) does not interact with antihyperglycemic agents.
Rationale 5: Isoproterenol (Isuprel) does not interact with antibiotics.
Global Rationale: Isoproterenol (Isuprel) should not be concurrently administered with potassium-wasting diuretics because hypokalemia may result. Isoproterenol (Isuprel) may lower serum levels of digoxin and induce dysrhythmias. Isoproterenol (Isuprel) does not interact with anticoagulants, antihyperglycemic agents, or with antibiotics.

Answer to Question 2

Correct Answer: 1,2,4,5
Rationale 1: One route of catecholamine administration is parenteral.
Rationale 2: One route of catecholamine administration is inhalation.
Rationale 3: Catecholamines cannot be given orally.
Rationale 4: Catecholamines can be administered through the topical route.
Rationale 5: Catecholamines can be administered through the subcutaneous route.
Global Rationale: The routes of catecholamine administration include parenteral (intravenous and subcutaneous), inhalation, and topically. Catecholamines cannot be given orally.

[WhattoUnderstand]

Excellent

[jackie]

Thanks for the timely response, appreciate it