Question

John is 67 years old and works as a driller in the oil fields. He has a history of coronary artery disease (CAD) and has developed tachycardia.

1. What type of adrenergic blocking drug would mostly likely be recommended and why?

Answer:

Rationale:

2. John also has a history of heavy smoking for 45 years. What concerns would the nurse have about giving him propranolol (Inderal), a non-selective β-blocker?

Answer:

Rationale:

3. How does John’s age of 67 years influence his taking β-blockers and going into heart failure?

Answer:

Rationale:

Answer 1

Answer 1: The b- blocker drugs are good for the ( CAD) as in hypertension also. Atenolol is one of the best b- blocker drugs used in the tachycardia. These drugs reduces the pressure on the walls of the artery and hence decresde the hypertension.

Answer 2: Somking cause damage to not only the lungs but also effects the blood pressure. The nurse has to give higher dose to the patient as he had history of smoking.

Answer 3 : All the history that is chain smoking, heart problems hypertension etc occurs at this age in most of the people. Patient needs higher dose due to his age also as most of the drug doesn't absorb properly. So the patient needs proper dose management.