The nurse is reviewing physician orders for a patient who has been admitted for the treatment of myocarditis
The nurse would contact the prescriber regarding which medication orders? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ibuprofen
2. Digoxin
3. An antibiotic
4. An ACE inhibitor
5. Antidysrhythmic
1,2,5
Rationale 1: The use of NSAIDs with myocarditis is contraindicated because they appear to increase cardiac damage.
Rationale 2: Patients with myocarditis are sensitive to the effects of digoxin. If this drug is used, the patient must be monitored very closely.
Rationale 3: If the myocarditis is bacterial, an antibiotic will be ordered.
Rationale 4: An ACE inhibitor may be used to treat left heart failure.
Rationale 5: The patient may require an antidysrhythmic, as dysrhythmias commonly occur with myocarditis.
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