A patient with heart failure is prescribed oral captopril (Capoten) and carvedilol (Coreg). The heart rate after giving these drugs is decreased from 84 per minute to 68 per minute. What is the nurse's best action?
a. Hold the next dose
b. Immediately notify the prescriber
c. Document the finding as the only action
d. Schedule the captopril and carvedilol to be given at different times
C
Beta blockers and ACE inhibitors are often used together to treat heart failure. Beta blockers block the effects of epinephrine on the heart resulting in deceased heart rate and force of contrac-tion, thus decreased blood pressure. The nurse should notify the prescriber if the heart rate is less than 60 per minute.
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