PC707 Module 4 2024 Exam with 100% Verified and Updated Solutions

PC707 Module 4 2024 Exam with 100% Verified and Updated Solutions What are considered first-line drugs for HTN? (1) diuretics (2) calcium channel blockers (3) ace inhibitors (4) ARBs ACE I and Beta- blockers are less effective for black patients. True CCB and Diuretics are more effective for black patients. True What can help with patients who have the early stages of kidney disease? ACEIs & ARBs Why can ACEIs & ARBs help with the early stages of kidney disease? (1) reduce BP (2) reduce intraglomerular pressure (3) reduce protein excretion What is a test used to check how well your kidneys are filtering blood? GFR Should you use ACEIs or ARBs in moderate or severe kidney disease? No Why might you see an increase in after starting ACEIs or ARBs? Creatinine & GFR (monitor this to make sure it doesn't get worse) After 1 to 2 weeks of starting an ACEI or ARB, what lab values would you want to check? (1) K+ (2) GFR (3) creatinine Who should no receive calcium channel blocker? People with HF What time of day should people take alpha-1 blocker/antagonist? Bedtime (can cause dizziness) If a person discontinues their Beta-blocker, what might happen? Rebound HTN Should people with COPD receive non-selective beta blockers for HTN? No (choose cardioselective) Who does ACEIs cause more cough in? Women Who has more pedal edema from calcium channel blockers? Women Thiazides cause more gout in who? Men Thiazides cause more hyponatremia and hypokalemia in who? Women What HTN agents tend to cause ED the most? (1) thiazides (2) beta-blockers (3) spironolactone What CAM therapies should people with HTN not use? (1) devil's claw (2) ginseng (3) goldenseal (4) black licorice (5) ma huang (6) squill (7) Yohimbe What are some uses for beta-blockers? (1) BP (2) arrhythmias (3) HF (4) angina (5) MIs (6) migraines (7) tremors Where are B1 receptors? Heart Where are B2 receptors? Lungs What happens when you block B1 receptors? Decreased HR What happens when you block B2 receptors? Bronchoconstriction What are examples of cardio-selective beta blockers? (1) atenolol (2) metoprolol When should children be checked for HTN? Age 3 (start screening) When lifestyle changes have not helped children with HTN, what are the first-line drugs to use? (1) ACE (2) ARB (3) CCB (4) thiazide diuretic What should you consider when taking BP in elderly? Postural HTN How do you take postural BP in an elderly patient? Have the patient stand up What should you teach elderly patient to do when standing up if they are taking antihypertensives? Stand up slowly What happens to BP during the first trimester of pregnancy? Lower What happens to BP after first trimester of pregnancy? Returns to prepregnancy level Would medications be first response to HTN during pregnancy? No (can cause decreased placental perfusion) If a woman is taking ACEs or ARBs, what else would you consider starting them on if they are not currently pregnant? Contraception What htn medication can decrease breastmilk? Hydrochlorothiazide and calcium channel blockers What are the normal drugs used during pr