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

Author Question: Which are potentially worrisome adverse effects associated with proton pump inhibitor use in older ... (Read 31 times)

swpotter12

  • Hero Member
  • *****
  • Posts: 527
on: Jul 23, 2018
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
Reply #1 on: Jul 23, 2018
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.


swpotter12

  • Hero Member
  • *****
  • Posts: 527
Reply #2 on: Jul 23, 2018
Thank you!


quynhmickitran

  • Sr. Member
  • ****
  • Posts: 330
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Effects of ¬hormones. Effects of ¬hormones.
Types of infections and their Effects on host cells Types of infections and their Effects on host cells
Effects of a Targeted Deletion of the μ Opiate Receptor Effects of a Targeted Deletion of the μ Opiate Receptor
The situational specificity of tolerance to the hypothermic effects of alcohol in rats. (Based on ... The situational specificity of tolerance to the hypothermic effects of alcohol in rats. (Based on ...
Summary of the effects on transcription levels of different point mutations Summary of the effects on transcription levels of different point mutations
Effects of Ac and Ds elements on gene expression Effects of Ac and Ds elements on gene expression
Video: Virtual Tour of the Eye Animation

For a complete list of videos, visit our video library