PC707 Module 4 – Exam with 100% Verified and Updated Solutions

PC707 Module 4 – Exam with 100% Verified and Updated Solutions What are considered first-line drugs for HTN? - answer(1) diuretics (2) calcium channel blockers (3) ace inhibitors (4) ARBs What can help with patients who have the early stages of kidney disease? - answerACEIs & ARBs Why can ACEIs & ARBs help with the early stages of kidney disease? - answer(1) reduce BP (2) reduce intraglomerular pressure (3) reduce protein excretion What is a test used to check how well your kidneys are filtering blood? - answerGFR Should you use ACEIs or ARBs in moderate or severe kidney disease? - answerNo Why might you see an increase in after starting ACEIs or ARBs? - answerCreatinine & GFR (monitor this to make sure it doesn't get worse) After 1 to 2 weeks of starting an ACEI or ARB, what lab values would you want to check? - answer(1) K+ (2) GFR (3) creatinine Who should no receive calcium channel blocker? - answerPeople with HF What time of day should people take alpha-1 blocker/antagonist? - answerBedtime (can cause dizziness) If a person discontinues their Beta-blocker, what might happen? - answerRebound HTN Should people with COPD receive non-selective beta blockers for HTN? - answerNo (choose cardioselective) Who does ACEIs cause more cough in? - answerWomen Who has more pedal edema from calcium channel blockers? - answerWomen Thiazides cause more gout in who? - answerMen Thiazides cause more hyponatremia and hypokalemia in who? - answerWomen What HTN agents tend to cause ED the most? - answer(1) thiazides (2) beta-blockers (3) spironolactone What CAM therapies should people with HTN not use? - answer(1) devil's claw (2) ginseng (3) goldenseal (4) black licorice (5) ma huang (6) squill (7) Yohimbe What are some uses for beta-blockers? - answer(1) BP (2) arrhythmias (3) HF (4) angina (5) MIs (6) migraines (7) tremors Where are B1 receptors? - answerHeart Where are B2 receptors? - answerLungs What happens when you block B1 receptors? - answerDecreased HR What happens when you block B2 receptors? - answerBronchoconstriction What are examples of cardio-selective beta blockers? - answer(1) atenolol (2) metoprolol When should children be checked for HTN? - answerAge 3 (start screening) When lifestyle changes have not helped children with HTN, what are the first-line drugs to use? - answer(1) ACE (2) ARB (3) CCB (4) thiazide diuretic What should you consider when taking BP in elderly? - answerPostural HTN How do you take postural BP in an elderly patient? - answerHave the patient stand up What should you teach elderly patient to do when standing up if they are taking antihypertensives? - answerStand up slowly What happens to BP during the first trimester of pregnancy? - answerLower (10-15 mmHg) What happens to BP after first trimester of pregnancy? - answerReturns to prepregnancy level Would medications be first response to HTN during pregnancy? - answerNo (can cause decreased placental perfusion) If a woman is taking ACEs or ARBs, what else would you consider starting them on if they are not currently pregnant? - answerContraception What htn medication can decrease breastmilk? - answerHydrochlorothiazide and calcium channel blockers What are the normal drugs used during pregnancy? - answer(1) methyldopa (2) nifedipine (3) labetalol Who is at an increased risk for angioedema? - answerWomen and African americans What drug causes angioedema? - answerACEI, ARBs, DRI