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Pharmacology CMS EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS .

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Pharmacology CMS EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS .Pharmacology CMS EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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-hypertensive crisis may occur
-cardiac complications
-monitor urine output
-necrosis can occur
-avoid use of MAOIs
AA Adrenergic agonists important info
-diuretics promote beneficial effects of dopamine
-must be administered IV continuous infusion
-titrates on BP response
-monitor for chest pain
-monitor perfusion to extremities

-do not use potassium supplements or salt substitutes
-do not drink grapefruit juice
-report parethesia and tingling of feet (hyperkalemia)
-may cause flu-like symptoms
-deepening of voice, menstrual irregularities
AA Aldosterone antagonists important info
-use cautiously with liver impairment
-monitor blood K+
-lithium toxicity can occur
-taking with diuretics increases risk for orthostatic hypotension
-PO with or without food

-stinging discomfort and pruritus of conjunctiva
-sensation of foreign body
-dont rub eyes
AA Alpha2-Adrenergic Agonists important -those who wear soft contact lenses should administer without lenses in and insert 15
info min after
-Antihypertensive meds can intensify hypotension
-MAOIs can decrease effect
-monitor blood pressure

-may cause sedation, drowsiness, fatigue
-monitor weight and BP
AA Alpha 2 Adrenergic agonists important
-avoid taking with high-fat meals
info
-avoid CNS depressants, especially with adolescents
-abrupt discontinuation can result in rebound hypertension

, -first dose orthostatic hypotension
-first dose given at night
AA Alpha adrenergic blockers important
-contraindicated with hypotension
info
-addictive hypotensive effect
-taken with food

-may cause fetal injury, angioedema, hypotension, dizziness, lightheadedness
-fetal damage in 2nd and 3rd trimester
-addictive effect when used with ARBs
AA Angiotensin 2 receptor blockers
-increased risk for lithium toxicity
important info
-PO
-with or without food
-if taking for HF, monitor weight and edema

-if client already taking diuretic, stop med temporarily for 2-3 days prior to starting
ACE
-start with low dose
-monitor BP 2 hr after initiation
-may cause dry cough, hyperkalemia, rash and altered taste (dysgeusia)
AA Angiotensin-converting enzyme (ACE)
-swelling of tongue may occur
inhibitors important info
-neutropenia so monitor WBC
-ACE inhibitors can increase levels of lithium
-PO except for enalaprilat which is only ACE that is IV
-captopril and moexipril at least 1 hr before meals
--other ACE taken with or without food

Ranolazine
-lowers cardiac O2 demand
-monitor ECG and BP
AA Antianginal agent important info -monitor digoxin levels
-report muscle weakness
-twice daily w/ or without food
-

-can increase risk for torsades de pointes
-monitor ECG
AA Antianginal agent important info -report palpation, chest pain, or dysones
-monitor BP
administer extended release twice daily with or without food

-increased risk of megacolon in clients with IBS
-contraindicated w/ COPD
-maximum dose of 8 tabs/day
AA Antidiarrheals important info
-management of dehydration
-avoid caffeine
-avoid drinking plain water bc of lack of electrolytes

Also known as anticonvulsants
Goals of therapy
-To control or prevent seizures while maintaining a reasonable quality of life
AA Antiepileptic Drugs (AEDs) important -To minimize adverse effects and drug-induced toxicity
info -AED therapy is usually lifelong
-Combination of drugs may be used
-do not take while pregnant
--decreases effectiveness of oral contraceptives

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