A man who has cardiovascular disease and takes nitroglycerin for ...

[bobbie]

A man who has cardiovascular disease and takes nitroglycerin for angina pain develops erectile dysfunction. The primary care NP who cares for this patient should recommend:
 
  a. sildenafil (Viagra).
  b. testosterone injections.
  c. vascular reconstruction surgery.
  d. use of a vacuum constriction device.

Question 2

The primary care NP is preparing to prescribe sildenafil for a man who has erectile dysfunction. The NP should remember to tell this patient:
 
  a. to avoid oral nitrates while taking this medication.
  b. that the drug may cause penile aching.
  c. to use a condom if his sexual partner is pregnant.
  d. dyspepsia may occur and may warrant discontinuation of the drug.

[mistyjohnson]

Answer to Question 1

D
Deaths have been reported in men on concomitant treatment with oral nitrates who are taking sildenafil. Patients with erectile dysfunction should be advised to try nonpharmacologic treatment, such as a vacuum constriction device. Testosterone injections are used for men with documented androgen deficiency. Vascular reconstruction surgery may be used for men with decreased blood flow and should be considered if other treatments are ineffective.

Answer to Question 2

A
Deaths have been reported in men on concomitant treatment with oral nitrates who are taking sildenafil. Patients taking alprostadil may experience penile ache. Finasteride, not sildenafil, is teratogenic, and a man taking finasteride should use condoms if his partner is pregnant. Dyspepsia is a common but not serious side effect of sildenafil.

[bobbie]

Thanks for the timely response, appreciate it

[debra928]

Excellent