Comprehensive HESI Review (Evolve) 2023 Guaranteed A+ Actual Questions and Answers, Complete 100%
Comprehensive HESI Review (Evolve) 2023 Guaranteed A+ Actual Questions and Answers, Complete 100% 1. What antihypertensive medication is cardioselective in that it can be used for patients with asthma?: Answer: Metoprolol tartrate (Lopressor) 2. Can antihypertensive medications be discontinued abruptly?: Answer: NO – Antihypertensive meds should be tapered over 1-2 weeks to prevent rebound cardiac excitation (i.e. rebound tachycardia, hypertension, and ventricular dysrhythmias) GRADUAL WEANING IS RECOMMENDED 3. What is a common side effect of clonidine (Catapres, Duraclon)? (NOTE: It is a sedative and antihypertensive drug): Answer: Drowsiness -- This S.E. can occur in the early weeks with clonidine. With continued use, this side effects becomes less intense. If a pt. complains of drowsiness r/t this med, ask them how long they've been taking it. 4. Atropine (a anticholinergic) is used preop. Why is this??: Answer: It decreases the risk of bradycardia during surgery. It increases the automaticity of the SA node and prevents a dangerous reduction in HR during surgical anesthesia. 5. An 80 year old pt. that is taking morphine for pain postop should be careful taking what other med in addition to morphine due to the risk of urinary retention?: Answer: Tricyclic antidepressants -- they have anticholinergic properties and can further exacerbate urinary retention in an older patient.
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