The nurse is preparing discharge teaching for four patients. Which patient should be advised by the nurse that over-the-counter cold and allergy preparations contain phenylephrine and should be avoided?
A) A 47-year-old woman with hypertension
B) A 52-year-old man with adult onset diabetes
C) A 17-year-old girl with symptoms of an upper respiratory infection
D) A 62-year-old man with gout
A
Feedback:
Phenylephrine, a potent vasoconstrictor and alpha1-agonist with little or no effect on the heart or bronchi, is used in many combination cold and allergy products. Patients with hypertension should avoid these drugs because serious increases in blood pressure could occur. Use of this drug in patients with diabetes and gout are not contraindicated. An upper respiratory infection may be an indication for the drug.
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