During assessment a patient says, "I took my blood pressure at home and it was high. I have been taking my husband's propranolol (Inderal) for the last week." The nurse is especially concerned about this action when it is noted that the patient has which preexisting conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all
that apply.
1. Obesity
2. Diabetes mellitus
3. COPD
4. Asthma
5. Rheumatoid arthritis
2,3,4
Rationale 1: While obesity may be contributing to the patient's hypertension, use of propranolol (Inderal) is not contraindicated.
Rationale 2: Beta blockers may cause hyperglycemia or hypoglycemia and may mask the symptoms of hypoglycemia in patients with diabetes.
Rationale 3: Beta blockers may cause significant bronchial constriction.
Rationale 4: Beta blockers may cause significant bronchial constriction.
Rationale 5: Beta blockers are not contraindicated for use in patients with rheumatoid arthritis.
Global Rationale: Beta blockers may cause hyperglycemia or hypoglycemia and may mask the symptoms of hypoglycemia in patients with diabetes. Beta blockers may cause significant bronchial constriction. While obesity may be contributing to the patient's hypertension, use of propranolol (Inderal) is not contraindicated. Beta blockers are not contraindicated for use in patients with rheumatoid arthritis.
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