ACE Inhibitors Nursing Pharmacology Exam | Questions & Answers (Graded A+)

ACE Inhibitors Nursing Pharmacology
Exam | Questions & Answers (Graded A+)
ACE - ANSWER - angiotensin-converting enzyme

ACE Inhibitors (Angiotensin-converting enzyme inhibitors) Prototype drug? and name
commonality - ANSWER - Prototype drug: Captopril

Name commonality: Almost al drugs end in "pril"

2 indications of ACE inhibitors - ANSWER - 1. Heart Failure (HF)

2. Myocardial Infarction (MI)

4 side effects of ACE inhibitors - ANSWER - 1. Cough
2. Dizziness
3. Hypotension
4. Angioedema

4 Nursing Implications of ACE inhibitors - ANSWER - 1. Monitor BP frequently
2. Patient is a fall risk. Advise patient to sit if dizzy & change positions slowly.
3. Monitor for angioedema
4. Monitor lithium levels. ACE inhibitors can increase lithium levels

ARBs (Angiotensin II receptor blockers) Prototype drug and name commonality -
ANSWER - Prototype drug: Losartan

Name Commonality: Almost all drugs end in "sartan"

2 indications of Angiotensin II receptor blockers - ANSWER - 1. Heart Failure (HF)

2. Myocardial Infarction (MI)

4 side effects of Angiotensin II receptor blockers - ANSWER - 1. Diarrhea
2. Dizziness
3. Hypotension
4. Angioedema

4 Nursing implications of Angiotensin II receptor blockers - ANSWER - 1. Monitor BP
frequently
2. Patient is a fall risk. Advise patient to sit if dizzy & change positions slowly.
3. Monitor for angioedema
4. Monitor lithium levels. ARBs inhibitors can increase lithium levels

, Beta adrenergic blockers (Beta Blockers) Prototype drug? and name commonality -
ANSWER - Drug: Metoprolol

Name commonality: Almost all drugs end in "olol"

2 Indications for Beta Blockers - ANSWER - 1. Heart Failure (HF)

2. Myocardial Infarction (MI)

4 side effects of Beta Blockers - ANSWER - 1. Erectile dysfunction
2. Arrhythmias
3. Heart failure (HF)
4. Steven-Johnson Syndrome (SJS)

4 Nursing implications for Beta Blockers - ANSWER - 1. Patient is a fall risk. Advise
patient to sit if dizzy and change position slowly.
2. Monitor vitals before and after administration. If heart rate drops below 50 , hold
medication and notify provider.
3. Use cautiously in patients with heart failure (start with low does)
4. For PO (by mouth) beta blockers, advise patient to take with food.

Calcium Channel Blockers Prototype drug and name commonality - ANSWER - Drug:
Nifedipine

Name commonality: Some end in "ipine" but not all Verapamil and Diltiazem are
common CCBs that do not follow this rule.

2 indications of Calcium Channel Blockers - ANSWER - 1. Angina

2. Hypertension

4 side effects of Calcium Channel Blockers - ANSWER - 1. Constipation
2. Arrhythmias
3. Heart failure (HF)
4. Steven-Johnson Syndrome (SJS)

4 Nursing implications of Calcium Channel Blockers - ANSWER - 1. Patient is a fall risk.
Advise patient to sit if dizzy and change position slowly.
2. Monitor patient for peripheral edema (swelling in extremities) and advise patient to
contact provider if this occurs
3. Monitor for consitpation, advise patient to increase fiber intake and fluids if this occurs
4. Monitor heart rate (HR). If heart rate increases significantly, notify provider.

What is a memory tool for remembering cardioselective beta blockers (those that effect
the heart) vs non-cardioselective beta blockers (those that affect both the heart and
lungs. - ANSWER - -Almost all cardioselective beta blockers start with A, B, E, or M.