A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. Dopamine 3 mcg/kg/min has been ordered for this patient
What nursing implications should be considered when administering this drug to an older patient? a. No changes are noted in older patients with this drug.
b. Drug effect is enhanced by increased receptor site action.
c. Increased breakdown by liver hepatocytes occurs, increasing dosage requirements.
d. Drug metabolism and detoxification are slowed, increasing the risks of drug toxicity.
D
Reduced drug-metabolizing capacity is caused by a decline in activity of the drug-metabolizing enzyme system, microsomal ethanol oxidizing system, and decrease in total liver blood flow. Medications that depend on the cytochrome P450 group of liver enzymes are most affected because age-associated changes cause as much as a 50% decline in enzymatic function.
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Theories that view depression as a group of learned responses are called ____ theories
1. social 2. behavioral 3. biological 4. psychoanalytical
Immobility is a serious risk factor for older adults. Immobility can result in all of the following except
a. Bone dissolution b. A decrease in muscle strength equal to 5% per day c. Parkinson's disease d. Joint stiffness and decreased range of motion
The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ___________
ANS:
Nurses often assist in the promotion of healthy lifestyles. Health problems such as difficulty sleeping, muscle tension, lack of energy, chronic stress, and mood swings are common reasons people turn to medications. Nurses can help clients understand that
1. Taking medications is a way of life in America. 2. Medications often mask problems rather than solve them. 3. Some medications have substitute herbal agents that are more healthy. 4. Community resources and specialty organizations can help reduce drug abuse.