The nurse is recording blood pressure and counting pulse rate of a patient who uses cocaine. What is the expected finding in this patient?
  1. Hypertension and decreased heart rate
  2. Hypertension and increased heart rate
  3. Hypotension and increased heart rate
  4. Hypotension and decreased heart rate
Explanation
Answer: B - Cocaine increases the heart rate and the blood pressure; it is a sympathomimetic. . Cocaine can also cause chest pain that may mimic a myocardial infarction. Cocaine causes coronary and peripheral vasoconstriction; this results in hypertension and episodes of cardiac ischemia that may cause infarcts. In some cases, multiple infarcts may occur even if the coronary arteries are normal.
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