Question

. Mr. Q., 61 years of age, comes to the emergency department with symptoms of a severe hypertensive emergency. The emergency department resident on call initiates therapy with sodium nitroprusside (Nitropress). The patient is transferred to the intensive care unit and monitored. Hours later, his blood pressure falls to 100/60 mm Hg, and he is lethargic and complaining of feeling dizzy. What will the nurse do? Indicate which ACE inhibitor would be best for the following patients. Explain your 10. answers. a. b. Irene, who has liver dysfunction, has high blood pressure, and is seriously ill Kory, who has a history of poor adherence to his medication regimen 11. Mr. B. will be starting prazosin (Minipress) for hypertension. What will he be taught before he takes even the first dose of this medication? 12. White and A frican-American patients are known to respond differently to antihypertensive agents. a. b. Which antihypertensives are considered more effective in white patients than in African- American patients? Which antihypertensives are considered more effective in African-American patients than in white patients?

Answer 1

9. Nurse must do discontinue the medication after falling blood pressure 100 / 60 mm HG .because if not discontinue means patient may go with irreversible chemic shock or death.

10 a) fasinopril is the only drug with compensatory dual route of elimation .It does not require dosage adjustment to patient renal dysfunction.

10 b ) lercanidipine it belongs to dihydropuridine class of CALCIUM CHANNEL BLOCKERS.

11.advice the patient to take correct prescribed dose of medication

Teach about the side effects of ministers

Avoid to standing for long period

Avoid to wake up too fast from sitting or lying in position it may cause feel dizzy or fainting

Teach about while take this medication at first it lowering the blood pressure and cause fainting.

12.a)beta BLOCKERS and ACE inhibitors are more effective antihypertensive drugs fro white people than African American patients.

12 b )diuretics and CALCIUM channel blockers are more effective antihypertensive drugs in African American patient than white people.