NURS 620 EXAM 2 STUDY GUIDE: CARDIAC, VASCULAR, RESPIRATORY CONCEPTS EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

NURS 620 EXAM 2 STUDY GUIDE:
CARDIAC, VASCULAR,
RESPIRATORY CONCEPTS EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)




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,NURS 620: Adult/Gero 1
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Exam 2 Study Guide
iv iv iv Cardiac • Vascular • Respiratory
iv iv iv iv


**Information for thi iv iv



CARDIAC s study guide is take
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n from the weekly C
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HYPERTENSION
anvas modules/lectu iv
Most common office visit
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res (Spr. 2021), Dunp
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Most common prescriptions
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hy textbook , Gremm
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inger review and pict iv iv iv



»Risk Factors
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ures from multiple in iv iv iv



• Age (>65) iv Alcohol excess iv
ternet searches to e iv iv iv



• Gender (male) iv Sedentary Lifestyle iv
ncourage visual lear iv iv



• Race (Af. Am.) iv iv Smoking ning and rememberi iv iv



• Obesity Stress ng.
• Family History iv Diet Please use as you wis iv iv iv iv


h and make correcti
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ons if and iv iv

Lifestyle Modifications iv
where they may be iv iv iv



↓Weight (BMI 18.5-24.9) iv iv

DASH diet iv

Diagnostics Treatment Secondary HTN Resistant HTN Differential Dx. iv
↓Sodium <2.4g/day iv
iv

neepeAd pedn.eaGood
H/P Lifestyle Mods. iv Cushings Uncontrolled HTN Sleluck! ~~Sarah C.
↑physical activity >30min/day iv iv
iv
iv iv
● Chest pain, edema,
iv Thiazide Diuretics iv iv Coarctation of Aorta iv iv despite 3-drug max iv iv Drug related iv
ETOH moderation <2/day iv iv
headache, vision CCBs iv Pheochromocytoma regimen CKD
changes Stop Smoking!!! iv
Hyperaldosteronism Refer to cardiologist Thyroid/Parathyroid
ACEIs
i v iv iv


Labs ARBs Renovascular HTN iv i Look atW 2nd causes
iv iv iv **see 2nd causes iv iv


● CBC, CMP, UA, TSH,
iv iv iv Sleep Apnea
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Lipids
ECG
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When to start medication therapy according to JNC8
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Age & Co-Morbs.
iv iv <60 All ages, +DM, All ages, CKD, +/-DM >60 iv iv iv iv iv


No CKD iv


>140/>90 >150/>90 >140/>90 >140/>90
Drug of Choice ● Non-black
iv iv ● Non-black ● Non-black ● All Races iv


ACEI, ARB, CCB, TTD ACEI, ARB, CCB, TTD ACEI, ARB, CCB, TTD ACEI or ARB alone or iv iv iv iv iv iv iv iv iv iv iv iv iv


alone or in combo alone or in combo alone or in combo in combo with other iv iv iv iv iv iv iv iv iv iv iv iv


● Black ● Black ● Black drug class iv


TTD or CCB alone or TTD or CCB alone or TTD or CCB alone or iv iv iv iv iv iv iv iv iv iv iv iv


in combo in combo in combo iv iv iv


ACEIs ARBs CCBs TTDs
Lisinopril Losartan Amlodipine HCTZ
Enalapril Olmesartan Felodipine chlorthalidone
Valsartan Diltiazem
Verapamil
Follow up 1-2 weeks after initiation of HTN medications. Once BP goals is reached, f/u every 3-6 months.
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