Barbra Streisand , age 79 , has asthma . We are considering an adrenergic drug for treatment . For Ms. Streisand , what are the drug advantages and diadvantages associciated with the use of 1. ephedrine 2. isoproterenol 3. metaproterenol 4. albuterol 5. terbutaline 6. Would her age be a factor in selecting the best drug ? Explain .

1) A patient with heart failure, hypertension and hyperlipidemia is taking furosemide, captopril, atenolol, and simvastatin. During a scheduled physical examination, about a month after starting all the drugs, the patient reports a severe, hacking and relentless cough. Which of the following is the most likely cause of the cough? An expected effect of the captopril An allergic reaction to the statin Dyspnea due to captopril’s bronchoconstrictor action Hyperkalemia caused by an interaction between furosemide and captopril Excessive doses of furosemide, which lead to hypovolemia 2) Flecainide and propafenone are in Vaughan-Williams (antiarrhythmic) Class IC. What is the clinically relevant “take home” message about this class of drugs? Are only given for arrhythmias during acute myocardial infarction (MI) Are particularly suited for patients with low ejection fraction or cardiac output Are preferred drugs for relatively non-severe ventricular arrhythmias Have a significant…

A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…

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