Exam (elaborations)
NRSE 3010 ETSU College of NursingStudy Guide Exam 2 Spring 2024
- Course
- Institution
NRSE 3010 ETSU College of NursingStudy Guide Exam 2 Spring 2024
[Show more]
Seller
Follow
LEARNEXAMS
Content preview
1ETSU/College of Nursing
Study Guide Exam 2 Spring 2017
NRSE 3010
This will serve as a guide to help you prepare for the second exam. This is a guide and there
may be content covered in class reflected in the exam not specifically listed on the study guide.
Chapters:, 41, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 58, 59
– Calcium Channel Blockers
1. Nifedipine (Procardia)
Adverse Effects
Monitor for hypotension (increase fall risk); edema (peripheral edema occurring
2-3 weeks after starting med)
Nursing considerations (teaching, administration concerns, etc.)
• Monitor for hypotension (orthostatic – increased risk for falls)
• Swelling of lower extremities
• Instruct to NOT take with grapefruit juice (enhance absorption and alter
therapeutic drug level)
Drug interactions
Avoid grapefruit (enhance absorption and alter therapeutic drug level)
ACE inhibitors and Alpha 1 blockers
• Mechanism of Action
• Blocks calcium in the vascular smooth muscle (smooth muscle relaxer) and
promotes vasodilation
• Very little effect on the heart
• More likely to cause reflex tachycardia (can combine with Beta Blocker (such as
metoprolol) to prevent)~
• Therapeutic Uses of Nifidepine
Angina
HTN
Suppress preterm labor (investigational)
2. Verapamil (Calan)
Mechanism of action
• Blocks calcium in the vascular smooth muscle (smooth muscle relaxer)
and promotes vasodilation
Therapeutic uses
Adverse Effects
Nursing considerations (teaching, administration concerns, etc.)
Drug interactions
Beta blockers
Grapefruit juice
, 2
– Renin-Angiotensin-Aldosterone System (RAAS)
Angiotensin-Converting Enzyme inhibitors (ACE inhibitors)
• The RAAS is a key mechanism in controlling BP and fluid balance
• Angiotensinogen is synthesized in the liver
• Cleaved by enzymes to form angiotensin I
• Angiotensin I is cleaved by ACE to form angiotensin II
• Angiotensin II is a potent vasoconstrictor
ACE inhibitors (Lisinopril) “the pril “ sisters”
Mechanism of action
Reducing levels of angiotensin II and increasing levels of bradykinin
Therapeutic uses
• Slows progression of heart failure
• Lower mortality of recent acute MI
• Prophylaxis for adverse cardiac events
• Prevent or delay progression of renal disease and retinopathy of diabetics
Adverse Effects (Hint: most common)
• Cough~
• Angioedema – potentially fatal ~BBW
• First Dose Hypotension
• Hyperkalemia (retention of potassium from aldosterone retention
• Renal failure – ACE I decreases GFR
• Fetal injury – Category D
• Primary excretion – renal (contraindicated in renal failure)
• Onset of Action: 1 hour
• Peak effect: 6 – 8 hours
Nursing considerations (teaching, administration concerns, etc.)
• Monitor for hypotension
• Monitor for angioedema
• Monitor for cough
• Instruct to limit use of salt substitutes (these usually contain potassium)
• Inform PCP if becomes pregnant
Drug interactions
• Diuretics – intensity effects
• Antihypertensive medications – intensify hypotensive effects
• Drugs that raise potassium levels
• Lithium toxicity accumulation of Lithium
• NSAID –may reduce antihypertensive effects of ACE I
Pregnancy category
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LEARNEXAMS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
