NURS 180 WEEK 5 & 6: CARDIO & RESPIRATORY
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
Altered Cardiovascular system - ANSWER
What is more dangerous: Hypotension or Hypertension? - ANSWER
Hypotension
What is more dangerous: Bradycardia or Tachycardia? - ANSWER Bradycardia
What are non-pharmacological ways to manage hypertension? (know for test) -
ANSWER Limit alcohol
Restrict Na+
Reduce fat and cholesterol
Increase fruit and veggie intake
Increase aerobic physical activity
Stop tobacco use
Reduce stress
Maintain optimum weight
Why can you not abruptly stop high blood pressure medications? (know for test) -
ANSWER Rebound hypertension
What is stage 1 hypertension? - ANSWER BP: 140-159/90-99
,What is stage 2 hypertension? - ANSWER Any BP greater than: 160/100
What does untreated BP lead to? - ANSWER Stroke
Ischemic Cardiomyopathy
Coronary Artery Disease
Why is hypertension called the silent killer? - ANSWER There are usually no
warning symptoms
What are the fours types of medications used for hypertension? (A, B, C, & D) -
ANSWER A: Ace inhibitors
B: Beta-blockers
C: Ca-channel blocker
D: Diuretics
All the "-pril" hypertension medications are what? - ANSWER Ace inhibitors
ACE Inhibitors? (know for test) - ANSWER Prototype drug: captopril (Capoten)
Adverse Effects: SEVERE HYPOTENSION AFTER 1 DOSE, DRY (NON-PRODUCTIVE)
COUGH, *ANGIOEDEMA*, METALLIC TASTE, NEUTROPENIA
Nursing Interventions: start with low dose, DIURETICS MAY BE STOPPED BEFORE
FIRST DOSE, monitor: BP, cough, and ANGIOEDEMA. Monitor k+ and WBC levels
, Administration: PO, GIVE 1 HR BEFORE MEALS
Contraindication: PREGNANCY RISK D, ANGIOEDEMA
Interactions: K+ SPARING DIURETICS (spironolactone aka Aldactone)
What is Angioedema? - ANSWER Swelling under the skin in the face.
Caused by ACE inhibitors and ARB's
Treatment is: Benadryl, or IV epinephrine
Intervention: Hold meds and notify MD
All the "-sartan" hypertension medications are what? - ANSWER Angiotension
II Receptor Blockers (ARB's)
Angiotension II Receptor Blockers (ARB's)? - ANSWER Prototype drug: lorsartan
(Cozaar)
Adverse Effects: ANGIOEDEMA, HEADACHE, INSOMNIA
Administration: PO ONLY
Contraindication: PREGNANCY RISK D
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
Altered Cardiovascular system - ANSWER
What is more dangerous: Hypotension or Hypertension? - ANSWER
Hypotension
What is more dangerous: Bradycardia or Tachycardia? - ANSWER Bradycardia
What are non-pharmacological ways to manage hypertension? (know for test) -
ANSWER Limit alcohol
Restrict Na+
Reduce fat and cholesterol
Increase fruit and veggie intake
Increase aerobic physical activity
Stop tobacco use
Reduce stress
Maintain optimum weight
Why can you not abruptly stop high blood pressure medications? (know for test) -
ANSWER Rebound hypertension
What is stage 1 hypertension? - ANSWER BP: 140-159/90-99
,What is stage 2 hypertension? - ANSWER Any BP greater than: 160/100
What does untreated BP lead to? - ANSWER Stroke
Ischemic Cardiomyopathy
Coronary Artery Disease
Why is hypertension called the silent killer? - ANSWER There are usually no
warning symptoms
What are the fours types of medications used for hypertension? (A, B, C, & D) -
ANSWER A: Ace inhibitors
B: Beta-blockers
C: Ca-channel blocker
D: Diuretics
All the "-pril" hypertension medications are what? - ANSWER Ace inhibitors
ACE Inhibitors? (know for test) - ANSWER Prototype drug: captopril (Capoten)
Adverse Effects: SEVERE HYPOTENSION AFTER 1 DOSE, DRY (NON-PRODUCTIVE)
COUGH, *ANGIOEDEMA*, METALLIC TASTE, NEUTROPENIA
Nursing Interventions: start with low dose, DIURETICS MAY BE STOPPED BEFORE
FIRST DOSE, monitor: BP, cough, and ANGIOEDEMA. Monitor k+ and WBC levels
, Administration: PO, GIVE 1 HR BEFORE MEALS
Contraindication: PREGNANCY RISK D, ANGIOEDEMA
Interactions: K+ SPARING DIURETICS (spironolactone aka Aldactone)
What is Angioedema? - ANSWER Swelling under the skin in the face.
Caused by ACE inhibitors and ARB's
Treatment is: Benadryl, or IV epinephrine
Intervention: Hold meds and notify MD
All the "-sartan" hypertension medications are what? - ANSWER Angiotension
II Receptor Blockers (ARB's)
Angiotension II Receptor Blockers (ARB's)? - ANSWER Prototype drug: lorsartan
(Cozaar)
Adverse Effects: ANGIOEDEMA, HEADACHE, INSOMNIA
Administration: PO ONLY
Contraindication: PREGNANCY RISK D