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Author Question: A patient is administered diltiazem (Cardizem) IV, which is followed by propranolol (Inderal) IV. ... (Read 63 times)

saraeharris

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on: Jul 23, 2018
A patient is administered diltiazem (Cardizem) IV, which is followed by propranolol (Inderal) IV. The nurse should assess for what potential effect of this medication combination?
 
  A) Hypertensive crisis
  B) Anaphylaxis
  C) Valve regurgitation
  D) Impaired contractility

Question 2

A male patient has been diagnosed with moderately increased LDL, and his primary care provider wishes to begin him on a statin. What is a potential disadvantage of statins that the care provider should consider? Select all that apply.
 
  A) Statins are nephrotoxic.
  B) Statins are expensive.
  C) Statins are contraindicated in patients with a history of myocardial infarction.
  D) Statins require regularly scheduled blood work.
  E) Statins have an immunosuppressive effect.


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kingfahad97

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Feedback:
If diltiazem is used with propranolol or digoxin, it is necessary to exercise caution to avoid further impairment of myocardial contractility. The administration of IV diltiazem and propranolol will not produce hypertensive crisis, anaphylaxis, or valve regurgitation.

Answer to Question 2

B, D
Feedback:
Because liver enzymes may be elevated during atorvastatin use, patients need liver function tests and repeat lipid profile testing on a routine basis. These drugs are also expensive. They are not nephrotoxic and do not suppress the immune system. Previous MI is an indication for their use, not a contraindication.


saraeharris

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


kingfahad97

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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