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 26 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
YES! Correct, THANKS for helping me on my review

raenoj

  • Member
  • Posts: 340
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

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?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

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?

Everyone has one nostril that is larger than the other.

As in this photo from Tampa, Florida, hidden cameras now follow us almost everywhere we go. How do ... As in this photo from Tampa, Florida, hidden cameras now follow us almost everywhere we go. How do ...
Obtaining a Stool Specimen for Examination for Pinworms Obtaining a Stool Specimen for Examination for Pinworms
Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ... Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ...
Assisting the patient to transfer from the bed or examining table to a wheelchair. Assisting the patient to transfer from the bed or examining table to a wheelchair.
A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease. A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease.
The flow of ions through ions channel in myocardial cells The flow of ions through ions channel in myocardial cells
Video: T cell receptors

For a complete list of videos, visit our video library