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NURA 221 FINAL EXAM LATEST UPDATED

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NURA 221 FINAL EXAM LATEST UPDATED...

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  • August 23, 2024
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  • NURA 221
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NURA 221 FINAL EXAM LATEST
UPDTED

How do ACE inhibitors work?

prevent the conversion of angiotensin I to angiotensin II which prevents
vasoconstriction

list of ACE inhibitors

•captopril (Capoten)

•enalapril (Vasotec)

•enalaprilat (Vasotec IV)

•lisinopril (Prinivil, Zestril)

•ramipril (Altace)

•Benazepril (Lotensin)

•fosinopril (Monopril)

•moexipril (Univasc)

•perindopril (Aceon)

•trandolapril (Mavik)

known as the prils

clinical uses for ACE inhibitors

hypertension

heart failure

myocardial infarction

,insulin resistance

SE/AR of ACE inhibitors

•Renal insufficiency

•Hyperkalemia

•Hypotension

•Dry cough

•Rash

•Angioedema

Nursing considerations for ACE inhibitors

•Patient education: swelling in eyes and lips; body may feel different as it adjusts to
lower BP, beware of orthostatic hypotension

•Vital signs

•History of OTC medications

•Patient precautions

•D/C K+ supplements

•Angioedema

Angiotensin II receptor blockers

-ARBs

-block the actions of angiotensin II (a potent vasoconstrictor)

-similar effects as ACE inhibitors

Benefits of ARBs

•ARBs do not cause hyperkalemia or dry hacking cough; significantly reduce the
risk of angioedema

list of angiotensin II receptor blockers

,•losartan (Cozaar)

•candesartan (Atacand)

•irbesartan (Avapro)

•telmisartan (Micardis)

•valsartan (Diovan)

•olmesartan (Benicar)

three classes of diuretics

loop, thiazide, potassium sparing

clinical indications for diuretics

•Acute renal failure

•Chronic renal failure

•Congestive heart failure

•Acute pulmonary edema

•Hypertension

list of loop diuretics

•furosemide (Lasix)

•ethacrynic acid (Edecrin)

•bumetanide (Bumex

list of potassium-sparing diuretics

•spironolactone (Aldactone)

•amiloride (Midamor)

•triamterene (Dyrenium)

list of thiazide diuretics

, •hydrochlorothiazide (HydroDiuril, Esidrix)

•chlorothiazide (Diuril)

•bendroflumethazide (Naturetin)

•methyclothiazide (Enduron)

•quinethazone (Hydromox)

•metolazone (Zaroxolyn, Diulo)

•chlorthalidone (Hygroton)



•indapamide (Lozol)




SE/AR of diuretics

•Orthostatic Hypotension

•Blood volume depletion

•Fluid & electrolyte imbalances




which diuretics cause hyperkalemia

potassium sparing




which diuretics cause hypokalemia

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