NURS 265 EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS
Treatment POST-MI - Answer-Calcium Channel Blocker: Lowers blood pressure.
Nitroglycerin: Relieves angina (chest pain).
Aspirin: Prevents further clot formation.
Statin: Lowers cholesterol.
Diet, weight loss and exercise
hemophilia - Answer-drugs that sto/prevent bleed from occurring
hemophilia a tx - Answer-factor 8 (a)
SE: hives, rash, stuffy nose, fever - give antihistamine (dipennhydramine)
avoid NSAIDS- aspirin in hemophilia pt due to the increased risk of bleeding
three regulators systems for BP - Answer-SNS
RAAS
Kidneys
drugs for HTN - Answer-Diuretics
Beta adrenergic blockers
CCB
Inhibitors RAAS
Drugs acting on RAAS - Answer-ACE inhibitors
ARBS
ACE Inhibitors - Answer-Prevention of angiotensin I from being converted to angiotensin
II and prevent the release of aldosterone (a promoter of sodium and water retention)
which leads to diuretic-type effects
- pril
ACE inhibitors causes - Answer-can cause angiodema
shouldn't be used inpregnancy due to placental blood flow
drug of choice for diabetes with HTN
SE of ACE inhibitors - Answer-dry hacking cough
first dose fo hypotension
hyperkalemia
angioedema
, - toungue
- lips
- eyes
ARBS AE: (-sartan) - Answer-orthostatic hypotension
hyperkalemia
angioedema
do not cause the ACE cough
CCB (very nice drugs) tx - Answer-angina with HTN
cardiac dysrhytimias
CCB SE (verapamil and diltazem) - Answer-constipation
bradycardia
facial flushing/redness
headache
dizzy
peripheral edema
hypotension
don't take with grapejuice
CCB SE (nifedipine) - Answer-reflex tachycardia
- give beta blocker
beta adrenergic blockers - Answer-suppress reflex tachycardia
don't stop arruptly can cause rebound HTN
- metoprolol/propanolol: masks hypoglycemia
-lol BB monitor what - Answer-HR and BP before admis
aplha 1 blockets - Answer-affect the brainstem
ortho hypotension
first dose hypotension
vasodilator meds - Answer-hydralazine (PO or IV)
nitroglycerin - angina
Antidyshythmics- Sodium channel blockers - Answer-interacts with digoxin
Antidyshythmics- Class 3 drugs that delay repolarization - Answer-amiodarone
•Approved for treatment of life-threatening ventricular dysrhythmias
SE of antidysrhythmics (class 3) - Answer-•Side effects (ORAL):
•Lung toxicity (dyspnea, cough)
•Heart toxicity (bradycardia)
WITH CORRECT DETAILED
ANSWERS
Treatment POST-MI - Answer-Calcium Channel Blocker: Lowers blood pressure.
Nitroglycerin: Relieves angina (chest pain).
Aspirin: Prevents further clot formation.
Statin: Lowers cholesterol.
Diet, weight loss and exercise
hemophilia - Answer-drugs that sto/prevent bleed from occurring
hemophilia a tx - Answer-factor 8 (a)
SE: hives, rash, stuffy nose, fever - give antihistamine (dipennhydramine)
avoid NSAIDS- aspirin in hemophilia pt due to the increased risk of bleeding
three regulators systems for BP - Answer-SNS
RAAS
Kidneys
drugs for HTN - Answer-Diuretics
Beta adrenergic blockers
CCB
Inhibitors RAAS
Drugs acting on RAAS - Answer-ACE inhibitors
ARBS
ACE Inhibitors - Answer-Prevention of angiotensin I from being converted to angiotensin
II and prevent the release of aldosterone (a promoter of sodium and water retention)
which leads to diuretic-type effects
- pril
ACE inhibitors causes - Answer-can cause angiodema
shouldn't be used inpregnancy due to placental blood flow
drug of choice for diabetes with HTN
SE of ACE inhibitors - Answer-dry hacking cough
first dose fo hypotension
hyperkalemia
angioedema
, - toungue
- lips
- eyes
ARBS AE: (-sartan) - Answer-orthostatic hypotension
hyperkalemia
angioedema
do not cause the ACE cough
CCB (very nice drugs) tx - Answer-angina with HTN
cardiac dysrhytimias
CCB SE (verapamil and diltazem) - Answer-constipation
bradycardia
facial flushing/redness
headache
dizzy
peripheral edema
hypotension
don't take with grapejuice
CCB SE (nifedipine) - Answer-reflex tachycardia
- give beta blocker
beta adrenergic blockers - Answer-suppress reflex tachycardia
don't stop arruptly can cause rebound HTN
- metoprolol/propanolol: masks hypoglycemia
-lol BB monitor what - Answer-HR and BP before admis
aplha 1 blockets - Answer-affect the brainstem
ortho hypotension
first dose hypotension
vasodilator meds - Answer-hydralazine (PO or IV)
nitroglycerin - angina
Antidyshythmics- Sodium channel blockers - Answer-interacts with digoxin
Antidyshythmics- Class 3 drugs that delay repolarization - Answer-amiodarone
•Approved for treatment of life-threatening ventricular dysrhythmias
SE of antidysrhythmics (class 3) - Answer-•Side effects (ORAL):
•Lung toxicity (dyspnea, cough)
•Heart toxicity (bradycardia)
