A nurse is caring for a patient who requires treatment with a beta blocker for hypertension. The patient has a history of asthma
The nurse should anticipate that the prescriber will order which of the following antihypertensive medications, taking into consideration the patient's health history? a. Metoprolol (Lopressor)
b. Propranolol (Inderal)
c. Pindolol (Visken)
d. Carteolol (Cartrol)
A
Metoprolol is preferred to the nonselective beta blockers for patients with asthma or diabetes.
Propranolol can cause blockade of beta2 receptors in the lungs, causing bronchoconstriction; it therefore is not recommended for patients with asthma.
Pindolol can cause blockade of beta2 receptors in the lungs, causing bronchoconstriction; it therefore is not recommended for patients with asthma.
Carteolol can cause blockade of beta2 receptors in the lungs, causing bronchoconstriction; it therefore is not recommended for patients with asthma.
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