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pharm exam 3 NUR 2060 Questions with correct Answers, 100% verified , Graded A+ latest update 2024 with complete solution
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  • NUR 2060
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  • NUR 2060

pharm exam 3 NUR 2060 Questions with correct Answers, 100% verified , Graded A+ latest update 2024 with complete solution

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  • July 24, 2024
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • pharm exam 3 nur 2060 questions with correct answ

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  • NUR 2060
  • NUR 2060

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pharm
exam
3
NUR
2060
ACE
inhibitor
examples
-
ANS-"-pril"
-captopril
(Capoten)
-enalapril
(Vasotec,
Vasotec
IV)
-lisinopril
(Prinivil,
Zestril):
#1!!!!
-ramipril
(Altace)
ADRs
for
potassium
sparing
diuretics
-
ANS--hyperkalemia
-stay
away
from
salty
foods
ADRs
of
ACE
inhibitors
-
ANS--dry,
hacking
cough
-1st
dose
effect:
significant
drop
in
BP
in
some;
if
warm,
dry,
alert
-OK.
if
cool,
clammy,
ashen-
NOT
OK
-hyperkalemia
if
taking
potassium
products
-severe
renal
insufficiency
if
bilateral
renal
stenosis
or
if
only
one
kidney-
contraindicated
-fetal
harm
-angioedema-
tongue
and
lip
swelling,
airway
risk,
discontinue
immediately
and
never
take
ACE
inhibitor
again
ADRs
of
thiazide
diuretics
-
ANS--
electrolyte
disturbances-
K,
Mg,
Na,
Cl
-increase
fasting
blood
glucose
levels
-elevated
BUN
-hyperuricemia
(can
lead
to
gout)
-increased
serum
cholesterol,
triglycerides,
LDL
-not
good
for
diabetics
ARBs
adrs
-
ANS-angioedema,
fetal
harm,
renal
failure
beta-adrenergic
blocker
ADRs
-
ANS--bronchospasm
-mask
hypoglycemia
-fluid
retention
to
heart
failure
-impotence
-cold
extremities
-increased
triglycerides
-decreased
HDLs
-exercise
intolerance
beta-adrenergic
blockers
action
-
ANS-compete
with
epinephrine
for
beta
receptor
sites,
inhibiting
response
to
beta-adrenergic
stimuli
-selective
and
nonselective
*beta1
blocker
receptors:
decrease
HR,
myocardial
contractility,
and
CO *beta
2
blocker
receptors:
ADR-
increase
bronchospasm
calcium
channel
blocker
ADRs
-
ANS--constipation
(blocks
smooth
muscle
in
intestine)-
most
common!
-dizziness,
facial
flushing,
headache,
edema
of
ankles
and
feet
-cardiac:
bradycardia
in
susceptible
patients
calcium
channel
blocker
examples
-
ANS-vascular
smooth
muscle
only:
-nifedipine
(Procardia)
heart
and
vascular
smooth
muscle:
-amlodipine
(Norvasc)
-verapamil
(Calan,
Isoptin)
-diltiazem
(Cardizem)
-
#1!!!
furosemide
(Lasix)
is
a
-
ANS-loop
diuretic
-push
SLOW,
could
cause
hearing
loss
-ADRs:
hyponatremia,
hypochloremia,
dehydration
which
can
produce
thromosis
and
embolism,
hypotension,
hypokalemia
(esp
for
patients
taking
digoxin
for
HF),
ototoxicity
(push
no
faster
than
20-40mg/min),
dont
take
while
pregnant
or
breastfeeding,
caution
in
elderly
how
do
angiotensin
converting
enzyme
(ACE)
inhibitors
work?
-
ANS-block
conversion
of
angiotensin
I
to
angiotensin
II
(powerful
vasoconstrictor)
how
do
angiotensin
II
antagonists
(angiotensin
receptor
blockers-
ARBS)
work?
-
ANS--block
action
of
angiotensin
II
-block
vasoconstriction
and
aldosterone
producing
effects
of
angiotensin
II
at
various
receptor
sites
(vascular
smooth
muscle
and
adrenal
glands)
-block
binding
of
angiotensin
II
to
angiotensin
receptors
how
do
calcium
channel
blockers
work?
-
ANS--block
slow
calcium
channels
preventing
calcium
from
entering
the
cell
-decrease
contraction
of
smooth
muscle
tissue,
vasodilation
results
and
decreases
peripheral
vascular
resistance
-do
not
act
on
veins
how
do
osmotic
diuretics
work?
-
ANS-They
draw
water
into
the
urine
without
interfering
with
salt
or
potassium
-osmotic
gradient
how
do
potassium
sparing
diuretics
work?
-
ANS--block
sodium-potassium
exchange
in
distal
nephron
-directly
inhibit
sodium
uptake
and
potassium
secretion
-counteract
potassium
loss
caused
by
more
powerful
diuretics

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