A clinic patient who has cirrhosis of the liver develops ...

[nmorano1]

A clinic patient who has cirrhosis of the liver develops hypervolemic hypernatremia. Which medication will the nurse expect the provider to order?
 
  a. Conivaptan Vaprisol
  b. Desmopressin DDAVP
  c. Tolvaptan Samsca
  d. Vasopressin Pitressin

Question 2

Which are adverse effects of alpha blockade? (Select all that apply.)
 
  a. Hypertension
  b. Reflex tachycardia
  c. Nasal congestion
  d. Ejaculation
  e. Hypernatremia

[kaylee05]

Answer to Question 1

C
Tolvaptan is an oral vasopressin antagonist indicated for reducing hypernatremia in patients with euvolemic or hypervolemic hypernatremia. Conivaptan has the same indications, but it is admi-nistered IV for hospitalized patients. Desmopressin and vasopressin are antidiuretic hormone re-placement medications that will make the condition worse.

Answer to Question 2

B, C, E
Adverse effects of alpha blockade include reflex tachycardia, nasal congestion, and hypernatre-mia. Other adverse effects include orthostatic hypotension and inhibition of ejaculation. Hyper-tension and ejaculation are not adverse effects of alpha blockade.

[nmorano1]

Thank you!

[kaylee05]

Always glad to help...