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Question:

A nurse is admitting a patient with congestive heart failure (CHF) treated with atenolol for an acute exacerbation of chronic obstructive pulmonary disease (COPD). The nurse notes a potential drug-to-drug interaction with one of the patient’s newly prescribed medications. Which of the following drugs should not be used to treat this patient’s COPD exacerbation?

A albuterol
explanation

Albuterol should not be used. The patient takes atenolol for CHF which is a beta-blocker. Albuterol is a beta agonist that has the opposite pharmacological effect of atenolol. In a patient taking atenolol, the therapeutic capability of albuterol may be greatly decreased. Ipratropium, corticosteroids, and theophylline have no potential interaction with atenolol.

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