The nurse on a medical-surgical unit is providing caring for a 40-year-old patient with pulmonary arterial hypertension (PAH). The prescriber has ordered sildenafil (Revatio) for the patient
Which of the following situations would prompt the nurse to call the prescriber prior to starting administration of the drug? a. Blood glucose of 100, and the patient has type 2 diabetes
b. Blood pressure of 108/51 and concurrent use of nitrates
c. Respirations of 16, and the patient is taking an opiate every 6 hours
d. Jaundice of the sclera with a history of cirrhosis
B
Sildenafil can cause mild hypotension when used alone, and this is a much greater concern when it is combined with nitrates. It can drop the blood pressure to life-threatening levels.
A blood glucose level of 100 is normal, and diabetes is not a contraindication to administration.
Respirations of 16 are normal, and opiates are not a contraindication to administration.
Sildenafil is not contraindicated in patients with cirrhosis.
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