When monitoring a client recently admitted for treatment of cocaine addiction, nurse Gem notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:
a. Norepinephrine (Levophed) and lidocaine (Xylocaine)
b. Nifedipine (Procardia) and lidocaine
c. Nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc)
d. Nifedipine and nitroglycerin
Answer D.
This client requires a vasodilator, such as nifedipine, to treat hypertension, and a beta-adrenergic blocker, such as esmolol, to reduce the heart rate. Lidocaine, an antiarrhythmic, isn’t indicated because the client doesn’t have an arrhythmia. Although nitroglycerin may be used to treat coronary vasospasm, it isn’t the drug of choice in hypertension.
a. Norepinephrine (Levophed) and lidocaine (Xylocaine)
b. Nifedipine (Procardia) and lidocaine
c. Nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc)
d. Nifedipine and nitroglycerin
Answer D.
This client requires a vasodilator, such as nifedipine, to treat hypertension, and a beta-adrenergic blocker, such as esmolol, to reduce the heart rate. Lidocaine, an antiarrhythmic, isn’t indicated because the client doesn’t have an arrhythmia. Although nitroglycerin may be used to treat coronary vasospasm, it isn’t the drug of choice in hypertension.
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Psychosocial Integrity