A 77-year-old female patient with heart failure complains of frequency and urgency of urination during the day and nocturia of 2 to 3 times a night. Which of the following medications can cause these symptoms?
A. Beta adrenergic blocker
B. Diuretic
C. ACE inhibitor
D. Digitalis
ANS: B
A patient may complain of frequency that she or he associates with a particular medication. Alternatively, this association may not be clear until a complete list of the patient's medications is available. Signs and symptoms are primarily frequency and urgency, both of which may be complicated by coexisting GU conditions, such as BPH, some type of incontinence, or mobility issues. A review of a patient's medications and administration schedule should be sufficient to determine that a diuretic is a contributing cause. Consider urinalysis to rule out a UTI.
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