NR 341 Exam #2 Cardiac Medications Questions With
Complete Solutions
What are the typical adult parameters for antihypertensive
medications?
Do not give antihypertensive medications if the systolic BP is
less than 110 or if the HR is less than 60. Hold the medication
and call the HCP.
What is Cardizem (diltiazem) used for?
A calcium channel blocker used for HTN.
Also on ACLS protocol for tachycardia and atrial fibrillation.
What lab level must be monitored closely in a patient receiving
calcium channel blockers?
Monitor blood glucose level more closely.
*Avoid grapefruit juice*
Name some common ACE inhibitors
Ends in "-pril"
Captopril, lisinopril, enalopril
What side effect should a patient on ACE inhibitors be
monitored for?
Monitor for a cough.
Don't need to call HCP but if cough gets bad you can take the
patient off of the ACE inhibitor and put them on an ARB
Considerations for patients taking ACE inhibitors
, Take medications on an empty stomach and avoid grapefruit
juice
Name an example of an ARB
Ends in "-sartan"
Losartan
Name some examples of beta blockers
Ends in "-olol"
Metoprolol, carvedilol, esmolol, atenolol, labetolol
What is an off label use for beta blockers?
These can also be used as an anxiety medication (not addictive
like ativan is)
What lab level should be monitored more closely in patients
taking beta blockers?
Monitor blood glucose levels more closely.
What is the effect of digoxin?
Digoxin is a positive ionotropic medication given to increase the
contractility of the heart. Decreases the HR through stimulation
of the vagal nerve.
What are the s/s of digoxin toxicity?
Vision changes (yellow/halo), N/V/D, weight loss
Important considerations for digoxin administration
-Monitor blood levels closely to ensure therapeutic range.
-DO NOT give if the patient's apical pulse is less than 60 (hold
med and call HCP).
Complete Solutions
What are the typical adult parameters for antihypertensive
medications?
Do not give antihypertensive medications if the systolic BP is
less than 110 or if the HR is less than 60. Hold the medication
and call the HCP.
What is Cardizem (diltiazem) used for?
A calcium channel blocker used for HTN.
Also on ACLS protocol for tachycardia and atrial fibrillation.
What lab level must be monitored closely in a patient receiving
calcium channel blockers?
Monitor blood glucose level more closely.
*Avoid grapefruit juice*
Name some common ACE inhibitors
Ends in "-pril"
Captopril, lisinopril, enalopril
What side effect should a patient on ACE inhibitors be
monitored for?
Monitor for a cough.
Don't need to call HCP but if cough gets bad you can take the
patient off of the ACE inhibitor and put them on an ARB
Considerations for patients taking ACE inhibitors
, Take medications on an empty stomach and avoid grapefruit
juice
Name an example of an ARB
Ends in "-sartan"
Losartan
Name some examples of beta blockers
Ends in "-olol"
Metoprolol, carvedilol, esmolol, atenolol, labetolol
What is an off label use for beta blockers?
These can also be used as an anxiety medication (not addictive
like ativan is)
What lab level should be monitored more closely in patients
taking beta blockers?
Monitor blood glucose levels more closely.
What is the effect of digoxin?
Digoxin is a positive ionotropic medication given to increase the
contractility of the heart. Decreases the HR through stimulation
of the vagal nerve.
What are the s/s of digoxin toxicity?
Vision changes (yellow/halo), N/V/D, weight loss
Important considerations for digoxin administration
-Monitor blood levels closely to ensure therapeutic range.
-DO NOT give if the patient's apical pulse is less than 60 (hold
med and call HCP).
