NURS615 PHARM EXAM 3 NEWEST
ACTUAL EXAM 3/ NURS 615 EXAM 3
(MARYVILLE) WITH COMPLETE 250
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
Loop, thiazide, and potassium sparing diuretics (except for
spironolactone antagonists)
What medications have been a mainstay of treatment of fluid
accumulation but their safety and efficacy is limited?
Dry, hacking cough
What is the most common adverse effect of ACEIs?
They inhibit the breakdown of bradykinins; this leads to an
accumulation of protrusive mediators in the respiratory tract
Why do ACEIs produce a dry, hacking cough?
,anti-nuclear antibodies (ANA); there is a close line between
therapeutic effect and toxicity
What is formed after 6 months of therapy with procainamide?
amiodarone (considered 2nd or 3rd line because of adverse
effects)
What medication is a Class 3 anti-arrhythmic?
-Available in 50 or 100mg tabs (few people tolerate more than
300mg/day
-taken with the bite of each meal
-usually begin with 50mg 3/day
What is the dosage of acarbose (Precose) and how should it be
administered? (Alpha-glucosidase inhibitor)
Hyperkalemia; Patients should know salt substitutes are high
in K+, avoid NSAIDs, and take antacids at least one hour apart
of BP meds
,What electrolyte imbalance can ACEIs cause?
losartan (Cozaar), valsartan (Diovan)
What are examples of ARBs?
Prevents or blocks the opening of calcium channels and it
reduces the effects of increased calcium in the cells
How do calcium channel blockers (CCBs) work?
excitation, contraction, regulating aldosterone and cortisol
secretion, involved in conduction of pacemaker signals
What are calcium channels responsible for?
Acts by blocking the angiotensin II receptor
What is the MOA of ARBs?
, Do NOT elevate levels bradykinins
Why do ARBS have a rare incidence of cough?
Outside of the cell
Where is the concentration of calcium ions NORMALLY higher?
Inside or outside of the cell?
The opening of channels and influx of calcium INTO the cell --
causes different effects
What do calcium channels allow?
1. Act on vascular smooth muscle to reduce contraction in
arteries = arterial vasodilation
2. Act on cardiac muscle = reduces the force of contraction of
the heart
3. Slows down the conduction of electrical activity in the heart
= slows HR
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