Adrenergic Blocking AgentsDonald, is a 64yr old black Canadian plumber, has been hospitalized after

Adrenergic Blocking AgentsDonald, is a 64yr old black Canadian plumber, has been hospitalized after experiencing a myocardial in­farction. He is married with two adult children. His physician told him that his myocardial infarction was “mild” and that Donald must make some lifestyle changes, including exercise and dietary changes. Donald has a history of asthma and hypertension; he stopped smoking cigarettes 5 years ago and has had no recent problems. His history also includes gall bladder removal at 48 years of age.Donald pulse rate has ranged from 78 to 112 beats/min; his blood pressure has been within normal range, 118/74 to 122/80 mm Hg. He is preparing for discharge and has the following prescriptions: Aspirin, enteric-coated, 81 mg daily, PO Propranolol 60 mg three times a day, clopidrogrel 75 mg daily, ramipril 5 mg BID, atorvastatin 80 mg daily, nitrospray BID, PO 1. Explain the purpose of the propranolol prescribed for Donald. 2. After Donald has been home for a week, the home health nurse calls him to check on how he is doing. Donald tells the nurse that he was “about to call the doctor” because he has been feeling more and more short of breath, even though he has been resting at home. What could be causing this problem? What do you expect will happen as a result? 3.. Two months later, Donald is in the office for a follow-up visit. He seems upset, even though his blood pressure is within normal range, his cardiac function is stable, and he has had no further breathing problems. He tells the nurse, “I don’t care what the doctor tells me, I’m going to stop that new pill. I’m having a terrible problem and I know it’s because of that medicine.”What do you suspect is causing Donald to be so upset, and what will be done about it? Will the ß-blocker be discontinued today? Explain your answer.  AntihypertensiveFive years ago, Donald was diagnosed with hypertension. Both his parents had hypertension as well as his older brother and sister. Before starting on Captopril antihypertension medication his BP often fluctuated between 150/100 mm Hg to 180/110 mm Hg. The doctor recommended drug therapy with light exercise in the form of walking, and relaxation therapy. After 2 months of therapy, Donald’s blood pressure managed to stay with a manageable range 135/90mm Hg to145/86 mm Hg for about 2yrs. Stress reduction had been the biggest obstacle since his treatment because of his work and concerns with lay off. Six months ago, his blood pressure was consistently elevated has (160/100 mm Hg) whenever he measured it at home. At this follow-up visit, his doctor also prescribed a diuretic to help with his blood pressure. 1. What type of diuretic was probably prescribed for Donald? Explain your answer. 2. What possible adverse effects does Donald need to be aware of while taking captopril? 3. Donald tells you that he uses an over-the-counter (OTC) pain reliever for occasional headaches. What potential interaction is of concern?4. What lifestyle changes would you, as his nurse, recommend that he make, and, even more important, what information would you give him to help change his lifestyle and more effectively reduce the stress in his life?5. Think about the education Donald may need about his medication. What would he need to know about medication safety and administration?AntianginalDonald is experiencing chest pain at times when he gardens, golfs and when he walks for long periods of time. After undergoing a thorough physical examination, including cardiac catheterization, Donald’s medication is changed to a prescription for extended-release nitroglycerin capsules, 6.5 mg, three times a day. He also has a prescription for 0.4-mg sublingual nitroglycerin tablets to take as needed for chest pain. 1. What type of angina is Donald experiencing, and what are the therapeutic goals of the drug therapy he has received? 2. Donald asks you, “Why do I have two prescriptions for the same drug? It doesn’t make sense to me!” What is the best answer to his question? 3. Two days after he begins the nitroglycerin, Donald calls the office and says, “I’m having awful headaches. What is wrong?” What is the best explanation, and what can he do bout the headaches? 4. After 1 month, Donald is switched from the extended-release capsules to a transdermal nitroglycerin patch. He says that he is glad he does not have to remember to “take those pills” three times a day. However, 2 months later, he calls and says, “I don’t think this patch is working. I’m having more episodes of chest pain when I garden and play golf.”  What could be the explanation for this, and what can be done? 5. What are the patient education points you would like to review with Donald about his Nitroglycerin medication and lifestyle? Health Science Science Nursing PNM 300 Share QuestionEmailCopy link Comments (0)

Having Trouble Meeting Your Deadline?

Get your assignment on Adrenergic Blocking AgentsDonald, is a 64yr old black Canadian plumber, has been hospitalized after completed on time. avoid delay and – ORDER NOW

Do My Paper

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.