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SCF Nursing Lvl 2 exam 2- cardiac Questions and Answers 100% Verified R149,70   Add to cart

Exam (elaborations)

SCF Nursing Lvl 2 exam 2- cardiac Questions and Answers 100% Verified

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  • Course
  • SCF Nursing Lvl 2- cardiac
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  • SCF Nursing Lvl 2- Cardiac

Nifedipine nursing considerations - -H&P -Allergy -Liver/Kidney function -Pregnancy & lactation -BP & HR (does not require HR every time) -Gums DAILY **Might not be first drug of choice for PT w/ unresolved cardiac issues** What are some concerns with antihypertensives in pregnancy? - -ACEs ...

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  • August 10, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • SCF Nursing Lvl 2- cardiac
  • SCF Nursing Lvl 2- cardiac
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SCF Nursing Lvl 2 exam 2- cardiac
Nifedipine nursing considerations - -H&P

-Allergy

-Liver/Kidney function

-Pregnancy & lactation

-BP & HR (does not require HR every time)

-Gums DAILY

**Might not be first drug of choice for PT w/ unresolved cardiac issues**



What are some concerns with antihypertensives in pregnancy? - -ACEs / ARBs cat C&D depending
on trimester



What are some concerns with antihypertensives in older adults? - -Older adults- Drug Drug
interactions; decreasing liver and kidney function; increased risk of falls



ACE Inhibitors mechanism of action? - -Blocks the conversion of angiotensin I to angiotensin II

-Angiotensin II receptor blocker: blocks effects of angiotensin on blood vessels



Beta-Blocker mechanism of action? - -leads to a decrease in HR & strength of contraction as well
as vasodilation



Calcium Channel Blocker mechanism of action? - -Relaxes (smooth) muscle contraction



Vasodilator mechanism of action? - -Act directly on vascular smooth muscle to cause muscle
relaxation, leading to vasodilation and drop in BP



ACE Inhibitor generic drug? - Lisinopril

, Lisinopril Actions - ACE inhibitor



-Blocks ACE from converting angiotensin I to angiotensin II

-Decreasing peripheral vascular resistance

-Leads to a decrease in BP

-Decrease in aldosterone production

-Small increase in serum K+ levels along with Na+ and fluid loss

**doesn't affect HR**



Lisinopril Indications / Pharmacokinetics - -Treatment of HTN, heart failure, diabetic nephropathy,
to improve MI survival

-Not metabolized, excreted primarily in urine



Lisinopril Contraindications / Cautions - -Allergies

-Impaired renal functions (hyperkalemia)

-Pregnancy and lactation

-Salt/ volume depletion

-NSAIDS decrease effectiveness



Lisinopril adverse effects - -R/T the effects of vasodilation: orthostatic BP, dizziness, Headache

-Renal insufficiency

-N/V/D

-DRY COUGH!!!

-Hyperkalemia

-ANGIOEDEMA (blood vessel swelling usually face and tongue)



Lisinopril Nursing considerations - -H&P

-Allergies

-Impaired renal function, pregnancy, lactation

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