Regis NU641 Adv Clinical Pharmacology Midterm Exam

Regis NU641 Adv Clinical Pharmacology Midterm Exam Angina, Coronary Artery Disease, & Migraines Patients that are at highest risk for abruptly stopping a beta blocker are those with Angiotensin-converting enzyme (ACE) inhibitors The medication that helps the imbalance between myocardial oxygen supply and myocardial oxygen demand in the myocardium by increasing the myocardial oxygen supply improves insulin sensitivity improves renal hemodynamics reduce production of angiotensin II Roles of Angiotensin-converting enzyme (ACE) inhibitors in DM patients Activation of the sympathetic nervous system that increases heart rate and preload The pathological change that takes place in HF that is not addressed by ACE inhibitors blunted coronary artery dilation due to calcified plaque Reason why nitro glycerin tablets "do not work well" in patient with hyperlipidemia and angina age factoring in the cost to the patient of the medication prescribed Clinical judgement in prescribing includes decreased renal function Prior to prescribing an ACE inhibitor the NP should access for statins First-line pharmacologic therapy for hyperlipidemia Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily living When is consultation with or referral to a cardiologist appropriate? Diuretics If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents? Determine their other risk factor