(SOLVED) A 65-year-old male client has been experiencing erectile dysfunction and requesting sildenafil (Viagra). The dient has been taking a nitrate for 3 years for angina.
Discipline: Nursing
Type of Paper: Question-Answer
Academic Level: Undergrad. (yrs 1-2)
Paper Format: APA
Question
A 65-year-old male client has been experiencing erectile dysfunction and requesting sildenafil (Viagra). The dient has been taking a nitrate for 3 years for angina. Which response would the nurse most likely hear from the presciber? O "As sildenafil with the nitrate may result in severe hypotension, a contradiction exists O "Sildenafil will be ordered and the nitrate will be discontinued 24 hours before sexual activity O "The client will be switched to a different nitrate and the sildenafil will be ordered O "Sildenafil will be ordered and the nitrate dosage will be decreased."
Expert solution paper
The correct answer for the above mentioned question is
(A) "As sildenafil with the nitrate may result in severe hypotension, a contradiction exists."
Explanation: The active ingredient in Viagra, sildenafil (generic Viagra), is a PDE5 inhibitor. It acts by preventing the enzyme that controls blood flow to your glans' soft tissue from working. This makes getting an erection and keeping it firm during sexual activity much easier.
Viagra affects the muscular tissue that controls the diameter of your blood vessels as part of this process. Your blood vessels dilate when you take Viagra. This improves blood flow not only to your glans'' erectile tissue, but also to other parts of your body.
Blood pressure is affected by this dilatation of blood vessels. When you take Viagra on its own, it lowers your blood pressure slightly. Blood pressure drops by 8.4/5.5 mmHg on average after a few minutes.
So,When you use Viagra or another ED medicine with a nitrate, your blood pressure will drop even more. This could result in a loss of consciousness or, even worse, a full-fledged cardiac arrest.
If you're in good health and don't have any cardiovascular problems, the little drop in blood pressure generated by Viagra will have no effect on your health or well-being.
- But for old age, senior it's not safe because the risk of side effects can be increased if there are high amounts of sildenafil in the plasma throughout the body. Younger men tend to remove the drug quickly, whereas those over 65 tend to retain substantially more sildenafil and its metabolite in their plasma can cause severe hypotension.