A 44-year-old man has sought treatment for erectile dysfunction. The patient asks specifically to be considered for sildenafil (Viagra) therapy
Which of the following factors in the patient's medical history must be taken into consideration for this particular medication? Select all that apply. 1. The patient reports a history of hypotension.
2. The patient has angina.
3. The patient has a history of glaucoma.
4. The patient was recently hospitalized to regulate his insulin therapy.
5. The patient has a history of type 2 diabetes managed by oral hypoglycemic medications.
1. The patient reports a history of hypotension.
2. The patient has angina.
Rationale: The patient reports a history of hypotension. Sildenafil (Viagra) will cause coronary vasodilation and hypotension. A patient having a history of hypotension may face excessively low blood pressure readings as a result of this therapy. The patient has angina. Nitroglycerine is used to manage angina. The use of nitrates contradicts the use of sildenafil (Viagra). The patient has a history of glaucoma. Glaucoma is not an indication to limit the use of sildenafil (Viagra). The patient was recently hospitalized to regulate his insulin therapy. Diabetes is not an indication to limit the use of sildenafil (Viagra). The patient has a history of type 2 diabetes managed by oral hypoglycemic. Neither type 2 diabetes nor the use of oral hypoglycemic medications will negatively impact the use of sildenafil (Viagra).
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