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

Author Question: A patient has heart failure and is taking an ACE inhibitor. The patient has developed fibrotic ... (Read 50 times)

washai

  • Hero Member
  • *****
  • Posts: 523
on: Jul 23, 2018
A patient has heart failure and is taking an ACE inhibitor. The patient has developed fibrotic changes in the heart and vessels. The nurse expects the provider to order which medication to counter this development?
 
  a. Aldosterone antagonist
  b. Angiotensin II receptor blocker (ARB)
  c. Beta blocker
  d. Direct renin inhibitor (DRI)

Question 2

Tadalafil Cialis was prescribed 4 weeks ago for a patient with erectile dysfunction. The patient also takes prazosin Minipress for hypertension. Which statement by the patient best demon-strates understanding of the use of tadalafil Cialis?
 
  a. I can take this up to 2 times a day, just before intercourse.
  b. I have a little renal trouble, so I should take a higher dose.
  c. I should take this medication with food.
  d. I should take this medication no more than once a day.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

vkodali

  • Sr. Member
  • ****
  • Posts: 357
Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Aldosterone antagonists are added to therapy for patients with worsening symptoms of HF. Al-dosterone promotes myocardial remodeling and myocardial fibrosis, so aldosterone antagonists can help with this symptom. ARBs are given for patients who do not tolerate ACE inhibitors. Beta blockers do not prevent fibrotic changes. DRIs are not widely used.

Answer to Question 2

D
Tadalafil should be taken no more than once a day and without regard to meals. Tadalafil has a half-life of 17.5 hours and should not be taken twice a day. Men with moderate renal or hepatic insufficiency should take a reduced dosage. This patient may be confusing the actions of tadalafil and prazosin.


washai

  • Hero Member
  • *****
  • Posts: 523
Reply #2 on: Jul 23, 2018
Thank you!


vkodali

  • Sr. Member
  • ****
  • Posts: 357
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Sphygmomanometry. Photograph of a physician taking blood pressure readings with the use of a sphygmo Sphygmomanometry. Photograph of a physician taking blood pressure readings with the use of a sphygmo
Pictures of Bypass (Heart) Pictures of Bypass (Heart)
Patient teaching: hair and scalp assessment Patient teaching: hair and scalp assessment
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ... Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Assisting a falling patient. Assisting a falling patient.
Head Gasket Failure Head Gasket Failure
Video: Requirements for nervous signals

For a complete list of videos, visit our video library