You assess M.G. for conditions that may be a contraindication to carvedilol. Which condition, if present, may cause serious problems if the patient takes this medication?
a. Angina
b. Asthma
c. Glaucoma
d. Hypertension
Question 2What is the purpose of the beta blocker carvedilol? It is given to:
a. increase the contractility of the heart.
b. cause peripheral vasodilation.
c. increase urine output.
d. reduce cardiac stimulation from catecholamines.
Question 3What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)?
Select all that apply.
a. Magnesium level
b. Sodium level
c. Complete blood count (CBC)
d. Serum glucose level
e. Potassium level
f. Coagulation studies
Question 4You administer furosemide (Lasix) 80 mg IVP.
Identify three parameters you would use to monitor the effectiveness of this medication.
Question 5After reviewing M.G.'s medications, the physician writes the following medication orders.
Medication Orders
Enalapril (Vasotec) 5 mg PO bid
Carvedilol (Coreg) 3.125 mg PO twice daily
Glipizide (Glucotrol) 10 mg PO every morning
Furosemide (Lasix) 80 mg intravenous push (IVP) now, then 40 mg/day IVP
Potassium chloride (K-Dur) 20 mEq/day PO
What is the rationale for changing the route of the furosemide (Lasix)?
Question 6How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work to reduce HF? Select all that apply. ACE inhibitors:
a. prevent the conversion of angiotensin I to angiotensin II.
b. cause systemic vasodilation.
c. promote the excretion of sodium and water in the renal tubules.
d. reduce preload and afterload.
e. increase cardiac contractility.
f. block sympathetic nervous system stimulation to the heart.
Question 7During the admission interview, the nurse makes a list of the medications M.G. took at home.
Nursing Assessment: Medications Taken at Home
Enalapril (Vasotec) 5 mg PO bid
Pioglitazone (Actos) 45 mg PO every morning
Furosemide (Lasix) 40 mg/day PO
Potassium chloride 20 mEq/day PO
Which of these medications may have contributed to M.G.'s HF? Explain.
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