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Case Study 2 Archie is a 72-year-old male who presents for complaints of erectile dysfunction and was prescribed sildenafil/Viagra prn. He has a past medical history of hypertension for which he takes lisinopril 20 mg daily.
1. Explain how sildenafil/Viagra helps with erectile dysfunction
2. Archie asks "if there are any side effects of this new medication?"
3. Archie asks if he should take sildenafil/Viagra with food. How would you respond? Patient Progression: 3 months later, Archie complained of a weak urinary stream. He states his symptoms are getting worse, causing him to stay home more because he "has to go to the bathroom all of the time." Archie was diagnosed with a small prostate and was started on tamsulosin/Flomax.
4. The student nurse asked how tamsulosin/Flomax works. How would you respond? 5. Archie asks "if there are any side effects of this new medication?"
6. Archie asks if you think it would be OK if he took sildenafil/Viagra with this new medication. How would you respond? 7. Explain the mechanism of action of Alprostadil.
8. Explain administration of prostaglandin receptor agonists in the treatment of erectile dysfunction.
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