q12 - goldenland

[ArchivalUser]

A 71-year-old male complains of increasing calf pain when walking uphill. The symptoms have gradually increased 2 months. He had an MI 2 years ago. His blood pressure has been controlled with diltiazem, hydrochlorothiazide, and propranolol. There is right carotid bruit and diminished pulses at the dorsalis pedis. Which of the three drugs should have the dosage lowered?

[ArchivalUser]

propranol..causes peripheral vascular dz

[ArchivalUser]

okedoke.....sharky!

[ArchivalUser]

propranolol. It is contraindicated in patients with peripheral claudication, as we see in this poor patient.