Question

O Search References Mailings Review Help Layout View [email protected] to verify the account associated with your Office 365 subscription. Sign In Barruch is a 50-year-old man who was given a prescription for lisinopril (Zestril) 1 month ago. While taking the medication, his systolic pressure has averaged between 130 and 138 mm Hg, and his diastolic pressure has averaged between 80 and 84 mm Hg. When he comes to the clinic today for follow-up, he states that he has a "dry cough" that "drives [him] crazy." He has also noticed that he has been "catching every cold that comes along." He would like to speak with the nurse about these complaints. 1. What does the nurse suspect is the cause of Barruch's cough? 2. What does the nurse suspect is the cause of Barruch's frequent infections? Ayoub is a first-day postoperative patient who had an abdom inal aortic aneurism repaired with a synthetic patch. He is sedated and is being monitored very closely to ensure his vital signs indicate adequate cardiac output and tissue perfusion, especially the kidneys. Why would Ayoub have the vasodilator sodium nitroprusside (Nipride) being titrated in a continuous drip? 3. 4. The family asks why this medicine is wrapped in aluminum foil. What is the nurse's best response? OTHER PERTINENT INFORMATION Temperature -36.5 degrees Celcius Height-6 foot 1 inches tall Weight 185 pounds The patient was admitted to a general medicine unit where the physician prescribed 500mg of IV clarithromycin to be given in a 250ml bag of NS over an hour. The tubing delivers 10gtts/ml. 5. Convert the patient's temperature into Farenheit, height into inches, and weight into kilograms. 6. At what drip rate would you set the IV? ada)

Answer 1

1, lisinopril(Zestril) has a side effects of dry cough, it indicates the patient has a late effect of allergic reaction with medication.
2, Cough, cold, sneezing, sore throat is an adverse effect of ACE inhibitor. ACE inhibitor affects the process of renal perfusion. So kidney impurities and an insoluble by-product of the drug kinins not filtered by blood. they flow through the kidney and accumulate in lungs bronchial tubes which cause chronic cough to expel the kinins from the lungs.
3, sodium nitroprusside as a titratable agent it has unique effectiveness to control blood pressure in the case of vascular surgery. It is arterial and venous vasodilator to lower blood pressure.
4, Nitroprusside is degraded in light so IV bag, the tube should be wrap with aluminum foil. It is photosensitive and should be protected from the light because it reduces the drug effectiveness it must be covered properly for the therapeutic effect.