Question

A client presents with a BP-160/90, Heart rate-56 BPM, a history of asthma, and Diabetes Mellitus. BUN-15 mg/dl and serum creatinine of 1.0 mg/dl. The new prescriptions for the client include:

• Propranolol
• Lispro Insulin
• Albuterol
• Lisinopril
• Nifedipine

Question: Which medications should the nurse notify the health care provider regarding the appropriateness of the order? Select all that apply and list why you chose each of your answers

Answer 1

1. Propranolol - contraindicated with asthma

It is a nonselective beta blocker, as they could participate severe bronchiospasm in patients and it could increase airway resistance as the patient has a history of asthma.

2. Lipro insulin- contraindicated kidney diseases causes hypoglycemia

As the patient has decreased kidney, is at high risk for hypoglycemia.

3. Albuterol - it may elivate blood sugar

Contraindicated as the patient is diabetic

4. Lisinopril - it is an ACE inhibitor, can cause elevation in potassium level.

As the patient is diabetic and has decreased renal function high risk to develop hyperkalemia.