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Author Question: A patient has been prescribed disopyramide (Norpace) to treat a tachydysrhythmia. Which of the ... (Read 31 times)

Alygatorr01285

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on: Jul 23, 2018
A patient has been prescribed disopyramide (Norpace) to treat a tachydysrhythmia. Which of the following factors would necessitate that the dose be reduced?
 
  A) Immobility
  B) Hypertension
  C) Renal impairment
  D) Chronic diarrhea

Question 2

A patient has been taking digoxin (Lanoxin) for 5 years for the treatment of heart failure. In the last 3 months, she has noticed she is tired all the time, her heart rate is very slow, and she is always cold.
 
  The nurse assessing the patient notes her blood pressure at 88/50 and pulse rate is 44 . The nurse instructs the patient not to take her digoxin. What condition may the patient be suffering from that would contraindicate the administration of digoxin? A) Hypothyroidism
  B) Myocardial infarction
  C) Cerebrovascular accident
  D) Intermittent claudication


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IRincones

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

C

Answer to Question 2

A
Feedback:
Hypothyroidism slows digoxin metabolism and further slows the heart rate. The patient is presenting with signs and symptoms of hypothyroidism. The patient is not experiencing characteristic signs and symptoms of myocardial infarction, cerebrovascular accident, or intermittent claudication.


Alygatorr01285

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


IRincones

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


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