Question

Pharmacology / Nursing.

Patients lab results.

INR 3.6 Serum Potassium

Level 5.2 mEq/L

The new Prescriptions for the client include: Benazepril; Maalox; Nifedipine; Simvastatin; Warfarin The client on the medical unit has a diagnosis of atrial fibrillation. What medications should the nurse notify the health care provider regarding the appropriateness of the orders? Select all that apply. a) Benazepril b) Maalox c) Nifedipine d) Simvastatin e) Warfarin For each of the medications above, state the purpose of the medication, one adverse effect, and one side effect?

Answer 1

The therapeutic range of INR value in patient with atrial fibrillation is 2-3. An increase in INR more than this range should be noted and informed to the physician to reduce the chances of bleeding.

Thus the answer is e) warfarin

Medication	Purpose	Adverse effect	Side effect
Benazepril	Antihypertensive To treat high blood pressure.	Skin rash	Headache
Maalox	Antacid To treat heartburn.	Allergic reactions	Diarrhea
Nifedipine	To reduce high blood pressure and treat heart disease.	Tremors	Dizziness
Simvastatin	To decrease blood cholesterol levels.	Confusion	weakness
Warfarin	Anticoagulation	Hives	Bleeding