PC707 Module 4 Cardiac Exam Questions And Complete Answers
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Course
PC707
Institution
PC707
PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are contraindications with thiazide diuretics? Contains sulfa (careful with certain
sulfa drugs) depending on allergy history; sulfonamide-derived drugs)
Significant renal impairment
Pre-existing hypokalemia
What are the indica...
PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are contraindications with thiazide diuretics? Contains sulfa (careful with certain
sulfa drugs) depending on allergy history; sulfonamide-derived drugs)
Significant renal impairment
Pre-existing hypokalemia
What are the indications for using a thiazide diuretic? HTN and edema
What are the PEARLs with thiazide diuretics? Great as add-on agent for HTN as it can
potentiate effectiveness of the initial drug
Can be useful for women with osteoporosis and HTN because of the calcium-sparing effects
What is the MOA for ACE inhibitors? (ACEI) blocks conversion of angiotensin I to
angiotensin II by inhibiting ACE (which is responsible for this conversion)
Angiotensin II is a potent vasoconstrictor, so by inhibiting it, less constriction occurs
Inhibits degradation of bradykinin and increases the synthesis of vasodilating prostaglandins
, PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are the potential S/E of ACEI? cough (dry tacky new cough, occurs in approx. 10 %
of population; try switching to an ARB)
Hyperkalemia
Renal function deterioration
Angioedema
Who is at increased risk of developing ACEI induced angioedema? Women
African Americans (up to a 5 % increase)
Explain the ACEI cough it is a dry, hacking, nonproductive one that usually occurs within
the first few months of treatment and should generally resolve within 1-4 weeks after
discontinuation. Rule out other causes of cough first.
Are there any potential D2D interactions with ACEI? Yes with ARBs
Contraindications of ACEI? caution in patients with worsening kidney disease,
contraindicated with bilateral kidney stenosis
already existing hyperkalemia
, PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are the monitoring parameters for ACEI? renal function baseline 1-2 weeks after
starting and then periodically
Monitor K
Use of ACEI in pregnancy, lactation, children and elderly? use caution in elderly
regarding renal function and hyperkalemia, ok for pets
Not for pregnancy
What is the MOA of ARBs? Blocks the vasocontricting and aldosterone-secreting effects
of angiotensin II by selectively blocking the binding of angiotensin II to the angiotensin II
receptor found in many issues (less binding results in less constricting)
Potential S/E of ARBs? Hyperkalemia
Angioedema
Renal function deterioration
What are the indications for use in ARBs? HTN and HF
, PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are the contraindications of ARBs? taking an ACEI
bilateral renal stenosis (it can cause renal failure)
worsening renal function
Pre-existing hyperkalemia
What are the monitoring parameters of ARBs? Monitor renal function and potassium
levels
Use of ARBs in pregnancy, lactation, children and the elderly? Elderly- caution regarding
renal function and hyperkalemia
Children- ok to take
Not in pregnancy
What are the uses of CCB (Calcium Channel Blockers)? HTN
Angina
A-fib (rate control)
PSVT & SVT
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