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

Author Question: A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The ... (Read 19 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
on: Jul 24, 2018
A patient is in the clinic for a follow-up examination after a myocardial infarction (MI). The patient has a history of left ventricular systolic dysfunction. The primary care NP should expect this patient to be taking:
 
  a. nadolol (Corgard).
  b. carvedilol (Coreg).
  c. timolol (Blocadren).
  d. propranolol (Inderal).

Question 2

An 80-year-old patient with chronic stable angina has begun taking nadolol (Corgard) 20 mg once daily in addition to taking nitroglycerin as needed. After 1 week, the patient reports no change in frequency of nitroglycerin use.
 
  The primary care nurse practitioner (NP) should change the dose of nadolol to _____ mg _____ daily. a. 40; once
  b. 80; once
  c. 20; twice
  d. 40; twice


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cpetit11

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
The 2012 guides for prevention of cardiovascular disease recommend that B-blocker therapy should be used in all patients with left ventricular systolic dysfunction with heart failure or prior MI. Use should be limited to carvedilol, metoprolol succinate, or bisoprolol.

Answer to Question 2

A
B-Blockers are the treatment of choice for chronic stable and unstable angina. Their therapeutic effect is dose dependent, and drug titration should be based on frequency of angina symptoms and nitroglycerin use. Nadolol should be started at 20 mg daily for elderly patients when treating angina and should be increased by 20 mg every 3 to 7 days if symptoms do not improve. Nadolol is given once daily.


Mr. Wonderful

  • Member
  • Posts: 866
Reply 2 on: Jul 24, 2018
Wow, this really help

amandalm

  • Member
  • Posts: 306
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Treating the pregnant patient Treating the pregnant patient
Positions for examination Positions for examination
A medical assistant listening to the patient and physician discuss the patient's care. A medical assistant listening to the patient and physician discuss the patient's care.
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
Typical Examination Room Equipment and Supplies Cont. Typical Examination Room Equipment and Supplies Cont.
Medical Gymnasts Assist Patient in Performing Movements, 1909. Medical Gymnasts Assist Patient in Performing Movements, 1909.
Video: Neurosynapse Animation

For a complete list of videos, visit our video library