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Exam (elaborations)

PNM300 Test 2 Exam Questions With Correct Answers

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PNM300 Test 2 Exam Questions With Correct Answers Drugs of choice for EARLY treatment of HF? - answer> ACE inhibs > ARBs > BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol > Loop D. ie. furesemide > Aldosterone inhibs ie. spirinolactone = as HF progresses. ...

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  • September 17, 2024
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  • PNM300
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PNM300 Test 2 Exam Questions With
Correct Answers


Drugs of choice for EARLY treatment of HF? - answer✔> ACE inhibs
> ARBs
> BBs; ie. bisoprolol, extended-release metoprolol tartrate, carvedilol
> Loop D. ie. furesemide
> Aldosterone inhibs ie. spirinolactone = as HF progresses.

Class I HF - answer✔No limitation of physical activity

Class II HF - answer✔regular activity results in fatigue, dyspnea or other symptoms

Class III HF - answer✔marked limitation of physical activity

Class IV HF - answer✔Symptoms @ rest or w/ no activity at all.

inotropic - answer✔drugs that affect contractility

dromotropic - answer✔drugs that affect the conduction of electrical impulses through the heart

chronotropic - answer✔drugs that affect the heart rate

Adverse effects of Inotropic drugs: early signs - answer✔-nausea
-vomiting
-anorexia

Adverse effects of inotropic drugs: late signs - answer✔-arrhythmias
-AV heart block
-blurry yellow vision
-HYPERkalemia

what drug class is Digoxin (Lanoxin)? - answer✔cardiac glycoside

, ©THEBRIGHTSTARS 2024
Digoxin antidote - answer✔Digoxin immune Fab (Digibind)
T/F: Assess apical + radial pulses for a full minute before giving a BB or Digoxin for HF? -
answer✔True.

why should a pt avoid taking high fibre foods (ie. Bran) when taking digoxin? - answer✔b/c
fibre ie.bran binds to digoxin; lowers digoxin levels
what should you do if the (adult) pts HR is less than 60 or greater than 100 before being given
the HF drug? - answer✔hold the dose & notify the prescriber.

effect of HYPOkalemia w/ digoxin? - answer✔increases risk of toxicity

treatment for HYPERkalemia associated w/ digoxin toxicity? - answer✔B.I.G.K
- sodium BICARBONATE infusion
- INSULIN infusion
- GLUCOSE/dextrose infusion
- KAYEXELATE
drug of choice for digitalis-induced arrhythmia?

**HINT: an antiepileptic - answer✔Phenytoin (Dilantin)= antiepileptic

Positive inotropic drug classes? - answer✔Phosphodiesterase inhibitors
Cardiac glycosides
B-type natriuretic peptides

Work by inhibiting the enzyme phosphodiesterase - answer✔phosphodiesterase inhibitors

phosphodiestrase inhibitor available in canada - answer✔milrinone (injectable)

negative chronotropic effect - answer✔decreases heart rate

Negative dromotropic effect - answer✔decreased automaticity at SA node, decreased AV nodal
conduction..

what drug class do heparin and warfarin belong to? - answer✔anticoagulants

acetylsalicylic acid (aspirin) & clopidrogel (plavix) are? - answer✔antiplatelet drugs
"-ASE"

ie. Streptokinase, urokinase, alteplase - answer✔thrombolytic drugs

desmopressin, tranexamic acid (cyklokapron) are? - answer✔antifibrinolytic (hemostatic) drugs

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