The nurse should question an order for propranolol (Inderal) in treatment of hypertension when the client has which associated disorders?
Standard Text: Select all that apply.
1. Angina pectoris
2. Dysrhythmias
3. Hyperlipidemia
4. Asthma
5. Liver failure
Correct Answer: 3,4
Rationale 1: Propranolol can be used in cases of angina, although this drug is less frequently used than are the cardioselective drugs.
Rationale 2: Propranolol can be used as an antidysrhythmic since it is most effective against tachycardia caused by excessive sympathetic stimulation.
Rationale 3: Propranolol increases serum triglycerides and decreases high-density lipoproteins. Patients with preexisting hyperlipidemia should have their lipid profiles monitored periodically to prevent hyperlipidemia.
Rationale 4: Propranolol is nonselective beta blocker and can block the beta2 receptors in the lung, which can be dangerous in case of asthma.
Rationale 5: This medication is not contraindicated for use in liver failure.
Global Rationale: Propranolol increases serum triglycerides and decreases high-density lipoproteins. Patients with preexisting hyperlipidemia should have their lipid profiles monitored periodically to prevent hyperlipidemia. Propranolol is nonselective beta blocker and can block the beta2 receptors in the lung, which can be dangerous in case of asthma. Propranolol can be used in cases of angina, although this drug is less frequently used than are the cardioselective drugs. Propranolol can be used as an antidysrhythmic since it is most effective against tachycardia caused by excessive sympathetic stimulation. This medication is not contraindicated for use in liver failure.
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