Question

A 48-year-old male client who is being admitted to the emergency department with an acute myocardial infarction (MI) gives the following list of medications to the nurse. Which medication would the nurse recognize as having the most immediate implications for the client's care?

A
Captopril
B
Furosemide
C
Sildenafil Correct Answer (Blank)
D
Losartan

Answer 1

The nurse would recognize sildenafil as having the most immediate implications for the client's care due to its potential dangerous interaction with nitroglycerine.

Step-by-step explanation:

The nurse would recognize sildenafil as having the most immediate implications for the client's care.

During an acute myocardial infarction (MI), the focus of treatment is to restore blood flow to the heart muscle. Sildenafil is a medication commonly used to treat erectile dysfunction, but it can also cause a dangerous drop in blood pressure when combined with medications known as nitrates (such as nitroglycerine). Both sildenafil and nitroglycerine work by relaxing blood vessels, and the combination can lead to severe hypotension and potentially life-threatening complications. Therefore, the nurse needs to be aware of the client's use of sildenafil and take appropriate measures to ensure the safety of the client's care.