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Which patient statement ensures that teaching was effective regarding isosorbide mononitrate "Drinking alcohol with this medication can cause my blood pressure to become low." "I can take Avanafil for my erectile disfunction with this medication". "If I get a headache, I I should visit the ER right away". "I only take this medication when I am having chest pain".
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ThiagoProfissional · Tutor por 6 anos
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The correct patient statement that ensures teaching was effective regarding **isosorbide mononitrate** is:<br /><br />**"Drinking alcohol with this medication can cause my blood pressure to become low."**<br /><br />### Explanation:<br />1. **Isosorbide mononitrate** is a nitrate medication used to prevent chest pain (angina) by relaxing and widening blood vessels, which improves blood flow. It lowers blood pressure as part of its mechanism of action.<br /><br />2. **Alcohol interaction**: Drinking alcohol while taking isosorbide mononitrate can enhance the blood pressure-lowering effects of the medication, potentially leading to dangerously low blood pressure (hypotension). This is an important safety consideration for patients.<br /><br />---<br /><br />### Why the other statements are incorrect:<br />1. **"I can take Avanafil for my erectile dysfunction with this medication":**<br /> - This is incorrect because **Avanafil** (and other PDE5 inhibitors like sildenafil or tadalafil) should not be taken with nitrates like isosorbide mononitrate. The combination can cause a severe drop in blood pressure, which can be life-threatening.<br /><br />2. **"If I get a headache, I should visit the ER right away":**<br /> - Headaches are a common side effect of isosorbide mononitrate due to its vasodilatory effects. While bothersome, they are usually not an emergency. Patients should be advised to manage headaches with over-the-counter pain relievers (if approved by their healthcare provider) and monitor symptoms.<br /><br />3. **"I only take this medication when I am having chest pain":**<br /> - This is incorrect because isosorbide mononitrate is typically prescribed as a **preventive medication** for angina and is taken on a regular schedule, not on an "as-needed" basis. Short-acting nitrates like nitroglycerin are used for acute chest pain relief.<br /><br />---<br /><br />### Key Teaching Points for Isosorbide Mononitrate:<br />- Take the medication as prescribed, usually on a regular schedule.<br />- Avoid alcohol to prevent excessive blood pressure lowering.<br />- Do not combine with PDE5 inhibitors (e.g., sildenafil, tadalafil, avanafil).<br />- Headaches are a common side effect but usually improve over time.<br />- Notify your healthcare provider if you experience severe dizziness, fainting, or other concerning symptoms.<br /><br />
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