NGR 6172 Quiz 4 The University of West Florida Questions with 100% Verified Answers Latest Update

NGR 6172 Quiz 4 The University of West Florida
Questions with 100% Verified Answers Latest Update
Question: What Medications can cause severe renal insufficiency in patients with Bilateral
Renal Artery Stenosis or Stenosis in the artery to a single remaining kidney?

Answer:

ACEIs
ARBs

Question: What can ACE Inhibitors cause in Patients with Diabetic Nephropathy?

Answer:

Slowed renal disease progression in pts w/ overt Nephropathy (>500mg proteinuria/day)
Delayed onset of overt nephropathy in less advanced Nephropathy (30-300mg
proteinuria/day)
*Not a primary intervention for diabetic nephropathy, but it can help*

Question: What is the first-line intervention for an adult patient with HTN?
MUST KNOW THIS

Answer:

Lifestyle Modifications

Question: What is the BP goal for a hypertensive black patient < 60 YO without DM or CKD?
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

SBP < 140 DIA < 90
Initiate Thiazide or CCB alone, or in combination

Question: What is the BP goal for a hypertensive nonblack patient < 60 YO without DM or
CKD?
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

SBP < 140. DIA <90
Initiate Thiazide, ACE-Inhibitor, ARB, or CCB alone or in combination

Question: What is the BP goal for a hypertensive nonblack patient ≥ 60 YO without DM or
CKD?
What is the 1st-Line Medication for HTN in this pt?

,MUST KNOW THIS

Answer:

SBP < 150 DIA < 90
Initiate Thiazide, ACE-Inhibitor, ARB, or CCB alone or in combination

Question: What is the BP goal for a hypertensive black patient ≥ 60 YO without DM or CKD?
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

SBP < 150 DIA < 90
Initiate Thiazide or CCB, alone or in combination.

Question: What is the BP goal for a hypertensive black patient with DM? (any age)
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

< 140/90
Initiate Thiazide or CCB, alone or in combination.

Question: What is the BP goal for a hypertensive nonblack patient with DM? (any age)
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

SBP < 140 DIA < 90
Initiate Thiazide, ACE-Inhibitor, ARB, or CCB, alone or in combination

Question: What is the BP goal for a hypertensive patient who has CKD with or without DM?
(any age + any race)
What is the 1st-Line Medication for HTN in this pt?
MUST KNOW THIS

Answer:

SBP < 140 DIA < 90
Initiate ACE-Inhibitor or ARB, alone or in combination with other drug class

Question: What is the BP goal for patients <60YO? (any race)
MUST KNOW THIS

Answer:

,SBP < 140. DIA < 90

Question: What is the BP goal for patients ≥ 60YO? (any race)
MUST KNOW THIS

Answer:

SBP < 150. DIA < 90

Question: What is the BP goal for patients with DM? (No CKD + any race)
MUST KNOW THIS

Answer:

SBP < 140. DIA < 90

Question: What is the BP goal for patients with CKD? (With or without DM + any race)
MUST KNOW THIS

Answer:

SBP < 140 DIA < 90

Question: You are starting a hypertensive patient on their first medication or combination
therapy for HTN. What are the 3 drug titration strategies?
MUST KNOW THIS

Answer:

A. Maximize 1st Rx before adding a 2nd
B. Add 2nd Rx before reaching max dose of 1st Rx
C. Start w/ 2 Rx classes separately or as a fixed-dose combination

Question: A hypertensive patient has already started on their first medication or
combination therapy for HTN, and they are not at their goal BP. What do you do for each of
the prescribing strategies?
MUST KNOW THIS

Answer:

#1 = Reinforce Rx + Lifestyle adherence
For Strategies A + B = Add Thiazide, ACE-Inhibitor, ARB, or CCB
*Use Rx class not previously used + Avoid combined use of ACE-Inhibitor + ARB*
For Strategy C = Titrate doses of initial Rx to Maximum

Question: What is Strategy "A" for drug treatment titration strategy for HTN? If that doesn't
get them to their goal BP, what is the next measure?
MUST KNOW THIS

, Answer:

Maximize 1st Rx before adding a 2nd.
Isn't working:
- Reinforce Rx + Lifestyle adherence
- Add + titrate thiazide, ACEI, ARB, or CCB
*Use Rx class not previously used, avoid combo of ACEI + ARB*

Question: What is Strategy "B" for drug treatment titration strategy for HTN? If that doesn't
get them to their goal BP, what is the next measure?
MUST KNOW THIS

Answer:

Add 2nd Rx before reaching Max dose of 1st Rx
Isn't working:
- Reinforce Rx + Lifestyle adherence
- Add + titrate thiazide, ACEI, ARB, or CCB
*Use Rx class not previously used, avoid combo of ACEI + ARB*

Question: What is Strategy "C" for drug treatment titration strategy for HTN? If that doesn't
get them to their goal BP, what is the next measure?
MUST KNOW THIS

Answer:

Start with 2 medication classes separately, or as a fixed-dose combination.
Isn't working:
- Titrate doses of initial Rx to maximum

Question: A patient has already started an initial Rx + a second Rx for HTN (strategy C) or a
third Rx for HTN (strategies A + B), but their BP is still uncontrolled. What do you do?
MUST KNOW THIS

Answer:

- Reinforce Rx + Lifestyle adherence
- Add additional Rx class (BB, Aldosterone Antagonist, or others)
- Refer to another provider for HTN management

Question: Onset, duration, dosage, and doses/day for Furosemide (Lasix)
(Loop Diuretic)

Answer:

Onset: Within 1 hr Duration: 6 - 8 hr Dosage: 20 - 80 mg Doses/day: 1 - 2 doses

Question: Onset, duration, dosage, and doses/day for Ethacrynic Acid (Edecrin) for HTN
(Loop Diuretic)