NUR 325 Exam 3. Drugs Questions and Answers Rated A+

NUR 325 Exam 3. Drugs

ACE Inhibitor - answer- captopril (Capote)
- enalapril (Vasotec)
- eosinophil (Monoprix)
- lisinopril (Prinivil)

Captopril Therapeutic Uses - answer- HTN
- HF
- diabetic nephropathy
- left ventricular dysfunction following MI (ramipril)

Captopril Adverse Drug Reactions - answer- severe hypotension after 1st dose
- dry, nonproductive cough
- rash + metallic taste
- angioedema
- hyperkalemia
- neutropenia

Captopril Administration - answer- PO BID/TID
- 2-3x daily for HTN
- 3x daily for HF
- give 1 hr ac

Captopril Contraindications - answer- teratogenic
- angioedema/allergy
- hypotension
- liver disease w/ elevated liver enzymes

Captopril Precautions - answer- decreased renal fxn
- bone marrow depression/ immunosuppresion
- rheumatoid arthritis
- cardiovascular disease
- cerebral vascular disease
- heart failure
- hyperkalemia
- hyponatremia
- older adults
- less effective in African Americans

Captopril Interactions - answer- potassium-sparing diruetics
- potassium supplements
- salt substitutes

, - antihypertensive drugs, diuretics, nitrates (increase risk of hypotension)
- NSAIDs decrease effect
- Food decreases absorption
- may cause lithium toxicity

ARBs meaning - answerangiotensin II receptor blockers

What ARB prevents cerebral vascular accidents (stroke)? - answerlosartan

What ARBs help manage diabetic nephropathy? - answerlosartan + irbesartan (Avapro)

What ARBs help treat heart failure? - answer- valsartan (Diovan)
- candesartan (Atacand) (also prevents migraines)

Losartan brand name - answerCozaar

Losartan Therapeutic Use - answer- HTN
- Prevents stroke
- Manages diabetic nephropathy

Losartan Adverse Drug Reactions - answer- angioedema (less than ACE inhibitors)
- headache
- dizziness
- hypotension
- insomnia

Losartan Administration - answer- PO only
- may be combined w/ thiazine diuretic, Hyzaar
- w/ or w/o food
- 1st dose lowered for pts on diuretics or w/ liver failure

Losartan Contraindications - answer- teratogenic
- allergy
- kids <6
- kids >6 w/ low creatinine clearance

Losartan Precautions - answer- concurrent diuretic use
- hyperkalemia
- liver/renal disorders
- pregnancy

Losartan Interactions - answer- antihypertensives increase risk of hypotension
- NSAIDs decrease effect and increase risk of renal complications

Aldosterone Antagonist - answer- eplerenone (Inspra)