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NCLEX-RN · Question #41

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

The correct answer is A. Positive inotropes. (A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

Options

  • APositive inotropes
  • BVasodilators
  • CDiuretics
  • DAntidysrhythmics

How the community answered

(37 responses)
  • A
    65% (24)
  • B
    8% (3)
  • C
    5% (2)
  • D
    22% (8)

Explanation

(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution to avoid causing hypovolemia. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.

Topics

#hypertrophic cardiomyopathy#positive inotropes#contraindications#cardiac pharmacology

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