A client has been prescribed carvedilol (Coreg) to treat heart failure. Which statements are true regarding carvedilol (Coreg) and treatment for heart failure? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Carvedilol (Coreg) should not be used to treat heart failure.
2. Carvedilol (Coreg) has the potential to worsen heart failure.
3. Carvedilol (Coreg) is always used in combination with other agents, usually ACE inhibitors.
4. Carvedilol (Coreg) is a first-line drug for treating heart failure.
5. Carvedilol (Coreg) should never be used with other medications when treating heart failure.
Correct Answer: 2, 3
Rationale 1: Carvedilol (Coreg) should not be used to treat heart failure is incorrect because it is used in combination with ACE inhibitors to treat heart failure.
Rationale 2: Carvedilol (Coreg) has the potential to worsen heart failure.
Rationale 3: Carvedilol (Coreg) is always used in combination with other agents, usually ACE inhibitors.
Rationale 4: Carvedilol (Coreg) is a first-line drug for treating heart failure is incorrect because the first-line drugs are ACE inhibitors and diuretics.
Rationale 5: Carvedilol (Coreg) should never be used with other medications when treating heart failure is incorrect because it is always used in combination with other agents, usually ACE inhibitors.
Global Rationale: Carvedilol (Coreg) has the potential to worsen heart failure. Carvedilol (Coreg) is always used in combination with other agents, usually ACE inhibitors. Carvedilol (Coreg) should not be used to treat heart failure is incorrect because it is used in combination with ACE inhibitors to treat heart failure. Carvedilol (Coreg) is a first-line drug for treating heart failure is incorrect because the first-line drugs are ACE inhibitors and diuretics.
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