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Galen NUR 210 Exam 3 With Questions and Answers
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Galen NUR 210 Exam 3 With Questions and Answers...
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Galen NUR 210 Exam 3 With Questions and AnswersBeta adrenergic blockers end in - ANSWER -olol
Alpha-adrenergic blockers end in - ANSWER -sin
Calcium Channel Blockers end in - ANSWER -pine
Angiotensin converting enzyme (ACE) Inhibitors end in - ANSWER -pril
Angiotensin II Receptor Blockers (ARBs) end in - ANSWER -sartan or -tan
Physiological risk factors for hypertension - ANSWER -Excessive intake of
saturated fat and simple carbohydrates
-Alcohol: increases renin secretions
Cultural responses to antihypertensive agents - ANSWER -African Americans
-Asian Americans
Drugs that can be used as dual therapy along with a diuretic for African Americans
- ANSWER -Metropolol
-Lisinopril
Drugs that can be used as monotherapy in African Americans - ANSWER
-Prazosin
-Nifidipine
Metropolol (Beta-adrenergic blockers) Action - ANSWER -Blocks the
adrenergic affect, which lowers blood pressure and heart rate
Metropolol (Beta-adrenergic blockers) Uses - ANSWER -Hypertension
-Also used as an anti-dysrhythmic and anti-angina
Metropolol (Beta-adrenergic Blockers) Side effects/adverse reactions - ANSWER
-Depresses the sympathetic nervous system
-Drowsy, dizzy, weak, headache, nasal stuffiness
-Constricts pupil/blurred vision (ok for glaucoma)
,-Sexual dysfunction
-Depression
-Hypotension, orthostatic hypotension, bradycardia
-Photosensitivity
-Hypoglycemia
-Bronchospasm
Metropolol (Beta-adrenergic blockers) Contraindications - ANSWER -Heart
block
-Hypotension
-Acute heart failure
-Bradycardia
Metropolol (Beta-adrenergic blockers) Caution - ANSWER -Diabetes
-Asthma
-Liver, kidney or thyroid dysfunction
Metropolol (Beta-adrenergic blockers) Interactions - ANSWER -Other drugs
that lower heart rate or blood pressure
-OTC cold medications
-Alcohol
-Anti-diabetic drugs
-NSAIDS decrease effectiveness
Prazosin (Alpha-adrenergic blockers) Action - ANSWER Block the
alpha-adrergic receptors, resulting in vasodilation and decreased blood pressure
Prazosin (Alpha-adrenergic blockers) Uses - ANSWER -Hypertension
-Heart failure
-Benign prostatic hypertrophy
Prazosin (Alpha-adrenergic blockers) Side effects/adverse reactions - ANSWER
,-Dizzy, drowsy
-Dry mouth
-headache
-Abdominal pain
-Urinary incontinence
-Orthostatic hypotension, hypotension
-Palpitations
Prazosin (Alpha-adrenergic blockers) Contraindications - ANSWER -Renal
Disease
(caution with angina)
Prazosin (Alpha-adrenergic blockers) Interactions - ANSWER -Other drugs
that lower blood pressure
-Alcohol
-OTC cold medications
Nifidipine (Calcium Channel Blockers) Action - ANSWER Blocks calcium's
movement in and out of cells which promotes vasodilation and decreased heart
rate
Nifidipine (Calcium Channel Blockers) Uses - ANSWER -Hypertension
-Anti-angina
-Anti-dysrhythmic
-Peripheral vascular disease (PVD)
Nifidipine (Calcium Channel Blockers) Side effects/adverse reactions - ANSWER
-Flushing
-Headache
-Dizziness
-Ankle edema
-Hypotension, orthostatic hypotension
, -Bradycardia
Lisinopril (Angiotensin-Converting Enzyme (ACE) Inhibitors) Action - ANSWER
-Inhibits the production of angiotensin II (a strong vasoconstrictor) and
aldosterone (holds water & Na, releases K)
-So by inhibiting angiotensin II the patient has inhibited vasoconstriction (results
in vasodilation) and releases water and Na and holds K
Lisinopril (Angiotensin-Converting Enzyme (ACE) Inhibitors) Uses - ANSWER
-Hypertension
-Heart failure
Lisinopril (Angiotensin-Converting Enzyme (ACE) Inhibitors) Side effects/adverse
reactions - ANSWER -Constant irritating cough
-headache
-GI upset
-Insomnia
-Hyperkalemia
-Tachycardia
-Hypotension/orthostatic hypotension
Lisinopril (Angiotensin-Converting Enzyme (ACE) Inhibitors) Contraindications -
ANSWER -Pregnancy
-Potassium-sparing diuretics such as spironolactone
-Salt substitutes that contain potassium
Lisinopril (Angiotensin-Converting Enzyme (ACE) Inhibitors) Interactions -
ANSWER -Potassium containing medication
-Other anti-hypertensives
-OTC cold medication
Valsartan (Angiotensin II Receptor Blockers (ARBs)) Action - ANSWER
-Inhibits binding of angiotensin II to its receptor
-Inhibits angiotensin II (no vasoconstriction) and the release of Aldosterone
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