The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta blocker. What best describes the nurse's assessment?
1. The patient is at risk for a hypertensive crisis.
2. The effects of metaproterenol (Alupent) will be decreased.
3. The drugs are compatible; there will not be any adverse effects.
4. The effects of metaproterenol (Alupent) will be increased.
2
Rationale 1: A hypertensive crisis is unlikely.
Rationale 2: Beta-adrenergic blockers block the receptors that are stimulated by adrenergic drugs; the effects of metaproterenol (Alupent) would be decreased.
Rationale 3: The drugs are not compatible.
Rationale 4: The effects of metaproterenol (Alupent) would not be increased.
Global Rationale: Beta-adrenergic blockers block the receptors that are stimulated by adrenergic drugs; the effects of metaproterenol (Alupent) would be decreased, not increased. The drugs are not compatible; the effects of metaproterenol (Alupent) would be decreased. A hypertensive crisis is unlikely.
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