HSC 343 EXAM REVIEW QUESTIONS WITH
100% CORRECT ANSWERS
what are the effects of digoxin?
-increases cardiac contractility by inhibiting Na-K ATPase
-decreases HR
-decreases AV nodal conduction
what are the side effects of digoxin?
-anorexia
-NVD
-confusion
-blurred vision (halos)
-arrhythmias
what is the presentation of dig toxicity?
made much worse by hypokalemia (decrease in K+) or anything that decreases digoxin clearance
how is dig toxicity treated?
-d/c digoxin, correct K+, administer Digibind (antibodies to digoxin that pull it out of
circulation)
-in the acute patient Milrinone may be used to increase the force of contraction
what drugs end in -pril?
ace inhibitors
what is lisinopril?
prototype ACEI
what is the most common side effect of ACEIs?
dry cough
what are normal side effects of ACEIs?
, -cough
-increase in serum K+
-dizziness
-hypotension
-first dose syncope
-angioedema (life-threatening)
-hyperkalemia
what do ACEIs have an effect on?
BP, cardiac remodeling and fluid management overall
* DOES NOT work on the heart
what are ARBs?
angiotensin receptor blockers
valsartan
ARB
Lisinopril
ACEI
Sacubitril/Valsartan
combination ARB drug
Ivabradine
ARB
hydrochorothiazide
diuretic
furosemide
diuretic
what to monitor on patients using diuretics?
100% CORRECT ANSWERS
what are the effects of digoxin?
-increases cardiac contractility by inhibiting Na-K ATPase
-decreases HR
-decreases AV nodal conduction
what are the side effects of digoxin?
-anorexia
-NVD
-confusion
-blurred vision (halos)
-arrhythmias
what is the presentation of dig toxicity?
made much worse by hypokalemia (decrease in K+) or anything that decreases digoxin clearance
how is dig toxicity treated?
-d/c digoxin, correct K+, administer Digibind (antibodies to digoxin that pull it out of
circulation)
-in the acute patient Milrinone may be used to increase the force of contraction
what drugs end in -pril?
ace inhibitors
what is lisinopril?
prototype ACEI
what is the most common side effect of ACEIs?
dry cough
what are normal side effects of ACEIs?
, -cough
-increase in serum K+
-dizziness
-hypotension
-first dose syncope
-angioedema (life-threatening)
-hyperkalemia
what do ACEIs have an effect on?
BP, cardiac remodeling and fluid management overall
* DOES NOT work on the heart
what are ARBs?
angiotensin receptor blockers
valsartan
ARB
Lisinopril
ACEI
Sacubitril/Valsartan
combination ARB drug
Ivabradine
ARB
hydrochorothiazide
diuretic
furosemide
diuretic
what to monitor on patients using diuretics?