Which manifestation experienced by a patient having vasopressin (Pitressin) therapy for bleeding esophageal varices indicates a serious adverse effect of the medication?
1. A pounding frontal headache
2. Midsternal chest pain
3. Abdominal cramping
4. Vertigo
2
Rationale 1: A headache is not a side effect of this medication.
Rationale 2: Vasopressin can cause vasoconstriction, resulting in myocardial ischemia. At times it is administered with nitroglycerin to prevent this adverse effect.
Rationale 3: Abdominal cramping is not a side effect of this medication.
Rationale 4: Vertigo is not a side effect of this medication.
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