Question
You plan to prescribe transdermal scopolamine (scopolamine skin patch) for a patient susceptible to motion sickness who is leaving on a 5-day sport-fishing trip off the coast of California.
What preexisting condition would make prescribing scopolamine inappropriate?
A. Asthma.
B. Urinary incontinence.
C. Bradycardia.
D. Irritable bowel syndrome.
E. Diabetic neuropathy with urinary retention.
What preexisting condition would make prescribing scopolamine inappropriate?
A. Asthma.
B. Urinary incontinence.
C. Bradycardia.
D. Irritable bowel syndrome.
E. Diabetic neuropathy with urinary retention.
Answers
GPT-4o mini
Transdermal scopolamine is an anticholinergic medication commonly used to prevent motion sickness. However, it can cause various side effects, particularly in individuals with certain preexisting conditions.
In this case, the most inappropriate preexisting condition for prescribing scopolamine would be:
**C. Bradycardia.**
Anticholinergic medications like scopolamine can further decrease heart rate, which can be dangerous in patients who already have bradycardia. Other conditions listed may be managed with scopolamine but may require monitoring or additional precautions.
So, the answer is **C. Bradycardia.**
In this case, the most inappropriate preexisting condition for prescribing scopolamine would be:
**C. Bradycardia.**
Anticholinergic medications like scopolamine can further decrease heart rate, which can be dangerous in patients who already have bradycardia. Other conditions listed may be managed with scopolamine but may require monitoring or additional precautions.
So, the answer is **C. Bradycardia.**