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 factors A 65-year-old patient who has been on a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her LDL is 135mg/dL. What would an appropriate treatment for them be? promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, which increases contractility, which increase the activity of the NA+/K+/ATPase pump indirectly Calcium Channel Blocker's helps control blood pressure because it discussion of expected adverse drug reactions Patient education regarding prescribed medications includes Do not take any herbal products without first discussing this with the provider Patient education when prescribing clopidogrel includes which of the following statements? If they stop the medication, their lipid levels will return to pretreatment levels; medication is a supplement to diet therapy and exercise; and if they have muscle aches or pain, they should contract their provider When starting a patient on a statin, what would education include? Lung When treating a patient for hypertension with a non-selective beta blocker, what other organ may be unintentionally affected? The brand name of warfarin and "do not substitute" When writing a prescription for warfarin it is common to write this on the prescription Sublingual tablets Which formulation of nitrate may be most cost effective for the patient who rarely has the need for dosing? Asthma What disease processes could be made worse by taking a nonselective beta blocker? Oral Methyldopa