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A staff nurse has to administer medications for blood pressure to several patients in the coronary care unit. The medications include captopril, diltiazem, and nitroprusside. The medications have to...

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A staff nurse has to administer medications for blood pressure to several patients in the coronary care unit. The medications include captopril, diltiazem, and nitroprusside. The medications have to be administered to three older adults.

a. What are the indications for captopril?

b. What are the therapeutic actions for diltiazem?

c. What are the most common adverse reactions for nitroprusside?

d. What are the lifespan considerations in the older adult for the use of drugs that affect blood pressure?

e. What are the nursing implementation considerations for a patient receiving nitroprusside for blood pressure?

AAntianginal Agents


A student nurse is preparing a paper on coronary artery disease, including the risk factors and the clinical presentation. The paper must include a review of common antianginal agents: nitrates, beta-blockers, and calcium channel blockers.

a. What are the therapeutic actions, indications, and pharmacokinetics for nitroglycerin?

b. What are the indications and pharmacokinetics for metoprolol?

c. What are the therapeutic actions for diltiazem?

d. What are the considerations for the older adult for the use of antianginal agents?

e. What are the important teaching points for patients receiving antianginal nitrates?

Answered Same Day Sep 30, 2021

Solution

Sumita Mitra answered on Oct 03 2021
146 Votes
3
Case Study: Coronary Care Unit:
a) Captopril is given to patients with high blood pressure and is also given to keep the patient safe from heart failure and maintain proper heart function and also maintain proper kidney function. The indications should be diagnosed properly for such patients and given this medication.
) The therapeutic actions for Diltiazem includes the capability in the relaxation of the coronary vascular muscles by inhibiting the influx of calcium ions. This medication is given to treat high blood pressure and fluctuating rhythm of the heart and keep it stabilised.
c) The most common adverse reactions of nitroprusside include development of skin rashes, stomach pain and nausea. At times it reduces the blood pressure drastically. Sometimes, the metabolic rates of the body are affected and is critical for heart patients. That is the reason this medication should be monitored and prescribed by the doctor and not consumed on our own.
d) The important considerations to be kept in video are that any other medication that are being taken needs to be told to the doctor. The overall fitness of the patient also needs to be assessed before prescribing the medicines. The heart rate and the level of blood pressure also determines the lifespan...
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