Pharm Exam 3 TTUHSC / Pharmacology Exam 3 2024
ACE inhibitors - Capopril, Enalapril, Lisinopril MOA - ANSWER-blocks the conversion of angiotension I to angiotension II causing vasodilation and excretion of sodium and water while retaining potassium
ACE inhibitors adverse effects/ complications - ...
ACE inhibitors - Capopril, Enalapril, Lisinopril MOA - ✔✔✔ANSWER-blocks the
conversion of angiotension I to angiotension II causing vasodilation and excretion
of sodium and water while retaining potassium
ACE inhibitors adverse effects/ complications - ✔✔✔ANSWER-ortho hypo,
cough, angioedema= swelling of the tounge , neutropenia (captopril), hyperkalemia
ACE inhibitors contraindications - ✔✔✔ANSWER-Kidney impairment
History of allergy / angioedema to ACE inhibitors
Pregnancy risk category D (2nd / 3rd trimester)
Patients with single kidney
,Bilateral renal artery stenosis
ACE inhibitors interactions - ✔✔✔ANSWER-potassium supplements, lithium, and
NSAIDS
ACE inhibitors key nursing actions - ✔✔✔ANSWER-If client is already taking a
diuretic, stop the medication 2 - 3 days in advance of beginning ACE inhib.
• Start treatment with low dosage
• If patients call & report swelling & coughing, get them IMMEDIATELY to an ER
• MONITOR: blood pressure, hyperkalemia manifestations, WBC every 2 weeks
for 3 months
• ADVISE CLIENTS: notify provider if dry cough occurs, rise slowly from sitting,
take without food (except for captopril & moexipril, 1 hr before meal)
ACE inhibitors- capopril, enalapril, lisinopril- indications - ✔✔✔ANSWER-
mainly hypertension
but also heart failure, MI, Diabetic & non diabetic nephropathy, Prevent MI,
stroke, & death (ramipril)
loratidine and cetirizine side effects - ✔✔✔ANSWER-little drowsiness
can produce false negative results on allergy skin test
Mannitol's contraindications - ✔✔✔ANSWER-active intracranial bleed, anuria,
severe pulmonary edema and renal failure
Mannitol's indications - ✔✔✔ANSWER-Decrease IICP caused by cerebral edema.
Promotes sodium retention & water excretion.
, Mannitol's MOA - ✔✔✔ANSWER-Raises serum osmolarity & draws fluids back
into
the vascular & extravascular space.
acetylcysteine contraindications - ✔✔✔ANSWER-asthma patients
can be used in breathing treatments but smells like rotten eggs.
Acetylcysteine indications - ✔✔✔ANSWER-productive cough in COPD and
cystic fibrosis patients.
acetylcysteine nursing actions - ✔✔✔ANSWER-be prepared with suction
increase water intake
Adenosine (antidysrthymic) complications - ✔✔✔ANSWER-sinius bradycardia
(basically stops the heart)
Adenosine (antidysrthymic) indication - ✔✔✔ANSWER-used for extreme
tachycardia
causes asystole for about 10 seconds
adenosine half life - ✔✔✔ANSWER-10 seconds
adverse effect of hydrochlorothiazide - ✔✔✔ANSWER-Orthostatic hypotension
Hyperglycemia
Hypokalemia
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