This topic contains a solution. Click here to go to the answer

Author Question: Which are potentially worrisome adverse effects associated with proton pump inhibitor use in older ... (Read 75 times)

swpotter12

  • Hero Member
  • *****
  • Posts: 527
Which are potentially worrisome adverse effects associated with proton pump inhibitor use in older patients? (Select all that apply.)
 
  a. Gastric cancer
  b. Headaches
  c. Medication interactions
  d. Osteoporosis
  e. Vitamin and mineral deficiencies

Question 2

A patient will begin taking propranolol Inderal for hypertension. Which statement by the nurse is important when teaching this patient about the medication?
 
  a. Check your hands and feet for swelling and report that to your provider.
  b. It is safe to take this medication with a calcium channel blocker.
  c. Stop taking the drug if you become short of breath.
  d. Take your pulse and do not take the me-dication if your heart rate is fast.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

quynhmickitran

  • Sr. Member
  • ****
  • Posts: 330
Answer to Question 1

C, D, E
Older patients who take PPIs have increased risks for medication interactions, osteoporosis, and vitamin and mineral deficiencies. Headache is a common side effect early in treatment but is not serious. The FDA has concluded that there is no increased risk of gastric cancer associated with PPIs.

Answer to Question 2

A
Patients taking propranolol can develop heart failure because of the suppression in myocardial contractility. Patients should be taught to watch for signs, which include shortness of breath, night coughs, and swelling of the extremities. Use of these agents with calcium channel blockers is contraindicated, because the effects are identical and excessive cardiosuppression can occur. Shortness of breath should be reported to the provider, but abrupt cessation of the drug can cause rebound cardiac excitability. Propranolol reduces the heart rate and should not be given if the pulse is less than 60 beats per minute.





 

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Medication errors are three times higher among children and infants than with adults.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

For a complete list of videos, visit our video library