An infant has critical aortic stenosis. The physician orders several medications for the infant. Which prescribed medications would the nurse question for this infant? (Select all that apply.)
A.
Bumetanide (Bumex)
B.
Diltiazem (Cardizem)
C.
Enoxaparin (Lovenox)
D.
Epinephrine (Adrenalin)
E.
Furosemide (Lasix)
ANS: C, D
In cases of critical aortic stenosis, medications include preload- and afterload-reducing agents, including bumetanine, diltiazem, and furosemide. Enoxaparin is a low-molecular-weight heparin. Epinephrine will raise heart rate and blood pressure and would cause this child's condition to worsen.
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