The nurse is reviewing medication orders for a patient with myocarditis caused by diphtheria. Which medications should the nurse question before administering them to the patient?
Select all that apply.
1. antibiotic
2. anticoagulant
3. cardiac glycoside
4. proton pump inhibitor
5. antidysrhythmic agent
Correct Answer: 3, 4
Patients with myocarditis often are particularly sensitive to the effects of digitalis, which is a cardiac glycoside, so it is used with caution. Proton pump inhibitors are used for gastrointestinal disorders. The nurse should question this medication as well. Myocarditis is an infection of the heart muscle. Antibiotics are indicated in the treatment of this condition. Emboli can occur with myocarditis and would be treated with anticoagulants. Dysrhythmias can occur with myocarditis and would be treated with antidysrhythmic agents.
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