HSC 343 PHARM EXAM 3 | QUESTIONS AND ANSWERS
| 2026 UPDATE | WITH COMPLETE SOLUTION
What are the effects of Digoxin? Answer - - increases cardiac contractility
which will increases cardiac output
- decreases HR
- decreases AV nodal conduction
- used in pts with advanced HF
When would you not give digoxin? Answer - if you check the apical pulse for a
whole minute and it is less than 60
What are the adverse drug reactions of digoxin? Answer - - anorexia
- NVD
- confusion (in older patients)
- blurred vision (halos)
- arrhythmias
What makes dig toxicity worse? Answer - hypokalemia or anything that
decreases dig clearance
, How is dig toxicity treated and why? Answer - digibind; b/c it is an antibody to
dig that pulls it out of circulation
What treats HF in acute pts and why? Answer - milrinone; b/c it increases the
force of contraction
What if the first-line treatment for Congestive Heart Failure? Answer - ACEI
What do the ACEI drugs end in? Give an example. Answer - - any drug that
ends in "pril" is an ACEI
- ex. lisinopril
What do ramipril and trandolapril do? Answer - approved for HF following an
MI
What are some side effects of ACEI? Answer - - cough
- angioedema (life-threatening)
- hyperkalemia
What is an ARB? Give examples. Answer - - angiotensin II receptor blockers
- also used in CHF pts
- ex. valsartan, losartan, any drug ending in "sartan"
Why would you switch a pt from an ACEI to an ARB? Answer - b/c they would
have a decreased cough
What is a popular combination drug used to treat CHF and what does it do?
Answer - - sacubitril/valsartan
| 2026 UPDATE | WITH COMPLETE SOLUTION
What are the effects of Digoxin? Answer - - increases cardiac contractility
which will increases cardiac output
- decreases HR
- decreases AV nodal conduction
- used in pts with advanced HF
When would you not give digoxin? Answer - if you check the apical pulse for a
whole minute and it is less than 60
What are the adverse drug reactions of digoxin? Answer - - anorexia
- NVD
- confusion (in older patients)
- blurred vision (halos)
- arrhythmias
What makes dig toxicity worse? Answer - hypokalemia or anything that
decreases dig clearance
, How is dig toxicity treated and why? Answer - digibind; b/c it is an antibody to
dig that pulls it out of circulation
What treats HF in acute pts and why? Answer - milrinone; b/c it increases the
force of contraction
What if the first-line treatment for Congestive Heart Failure? Answer - ACEI
What do the ACEI drugs end in? Give an example. Answer - - any drug that
ends in "pril" is an ACEI
- ex. lisinopril
What do ramipril and trandolapril do? Answer - approved for HF following an
MI
What are some side effects of ACEI? Answer - - cough
- angioedema (life-threatening)
- hyperkalemia
What is an ARB? Give examples. Answer - - angiotensin II receptor blockers
- also used in CHF pts
- ex. valsartan, losartan, any drug ending in "sartan"
Why would you switch a pt from an ACEI to an ARB? Answer - b/c they would
have a decreased cough
What is a popular combination drug used to treat CHF and what does it do?
Answer - - sacubitril/valsartan
