2 QUESTIONS AND CORRECT ANSWERS -GALEN
COLLEGE OF NURSING .
What is the MOA of ACE Inhibitors?
Causes reduction in the production of angiotensin II by blocking the conversion of
angiotensin I to angiotensin II and increasing levels of bradykinin (stops RAAS from
happening)
What it the MOA of Angiotensin II Receptor Blockers (ARBs)?
block the action of angiotensin II in the body, resulting in vasodilation and
excretion of sodium and water (by decreasing release of aldosterone)
What are Angiotensin II Receptor Blockers used for?
- HTN
- Heart failure
- stroke prevention (losartan only)
- protect against MI, stroke, cardiac death for people who cannot tolerate ACE
Inhibitors (telmisartan only)
What are the common Angiotensin II Receptor Blockers?
- losartan
- irbesartan
- candesartan
- olmesartan
- telmisartan
What are the complications of Angiotensin II Receptor Blockers?
, - diarrhea
- angioedema
- lightheadedness
- fatigue
- renal failure
What are the contraindications to Angiotensin II Receptor Blockers?
- bilateral renal stenosis or a single kidney
- caution in pts who had angioedema with ACE Inhibitors
What are the interactions with Angiotension II Receptor Blockers?
other anithypertensives
What are the nursing implications with Angiotensin II Receptor Blockers?
- assess HR and BP before and after admin
- monitor for angioedema
- fall risk
- monitor daily weights for heart failure or fluid overload
- antidote: epinephrine
What are some patient teachings with Angiotensin II Receptor Blockers?
- change positions slowly
- notify provider if you experience swelling of face, eyes, lips, tongue, SOB
What is the MOA of Cardiac Glycosides?
- positive inotropic effect: increased force of myocardial contraction
- negative inotropic effect: decreased heart rate
What are Cardiac Glycosides used for?