Lillian has been on her medication for pneumonia for 24 hours. The MD says the p

Question

Lillian has been on her medication for pneumonia for 24 hours. The MD says the pneumonia is improving, but she also is having an acute exacerbation of her COPD and a chronic irregular heart rate. Her vital signs are T 37C, B/P 140/87, P 82 and irregular, R 12, and pulse oximetry 92% on 2L O2 per nasal cannula. The physician is concerned about her blood pressure and wants to continue to watch it. She feels that Lillian will benefit from regular medication for her COPD while in the hospital and when she goes home. Lillian also is complaining of cigarette cravings and constipation. The MD is urging her to quit smoking.

The physician leaves the following orders.

Albuterol MDI 2 puffs every 6 hours

Ipratropium MDI 2 puffs every 6 hours

Nicoderm 7mg/24hr transdermal patch daily

Bisacodyl 10 mg suppository now x1 then 10 mg po daily

Bathroom privileges

Respiratory therapist to determine need for O2 at home

Cardiologist, Dr. B, to consult for irregular heart rate

QUESTION

What are some anti-hypertensive medications the physician will probably avoid and why? explain

Explanation / Answer

physician will stop albuterol , antihypertensive medication will be avoided because the patient is having irregular heart beat, if this continued it can lead to heart disease or heart failure.

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