Exam (elaborations)
NUR 283 Transition To Registered Nursing Practice Pharmacology Exam 3 review questions and answers
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- Galen College Of Nursing
NUR 283 Transition To Registered Nursing Practice
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Pharm Exam 3 –Do not forget about the Kahoots from Campos Units are messed up BUT do them!
Antihypertensive – Unit 7
Too much fluid, too much vasoconstriction
Blocks adrenergic effect, which can lower blood sugar and heart rate
Photosensitive, hypoglycemia
- Contraindications – asthma COPD A-M, liver/kidney issues
Metoprolol – more selective to beta 1 – effects heart
Propranolol – non selective blocks 1 and 2 (lungs) – Bronchospasm, asthma
Prazosin – Blocks the alpha – adrenergic receptors, vasodilation, decreases BP
Works in the vessels therefore = Does not affect heart rate
- Can be used a monotherapy in African Americans, relaxes bladder, antihypertensive
Side effects – Peripheral edema, incontinence, erectile dysfunction
Adverse – Orthostatic hypo, palpitations, elevated liver
*Safer for asthma, diabetics
Highly protein binding drug = free drug/toxicity
Amlodipine - Calcium Channel Blocker
- Uses: Hypertensive, anti-angina, PVD
- Does affect heart
- Same side effects – peripheral edema, flushing, headache
- AR- Bradycardia
- Hepatic impairment
Lisinopril – ACE inhibitor Angiotensin
- Blocking angiotensin ll, blocks aldosterone
- Holds onto water and NA, and K
, - SE- Cough, insomnia, GI
- Does not affect the heart
- AR- Hyperkalemia, Angioedema (Tongue swelling), nephrotoxic, tachycardia, palpitations
- Pregnancy, Spironolactone, Salt substitute (Potassium)
- Dry Irritating Cough is very common
Valsartan – ARB
Hypertension, heart failure
NSAIDS can increase renal dysfunction, hyperkalemia
- Does not cause the cough
Assessment
- Vitals
- NA & K (ACE, ARBS), Lower heart rate (Beta Blocker, CCB)
- Weight daily, edema
- I & O (Helps assess renal function)
- Electrolyte imbalance with ACE ARB
- Too big of a drop in BP needs to be reported
Teaching
- Take BP and pulse daily
- Gains 2 lbs. a day or 5 lbs. in week
- Check OTC Cold med
- Beta blockers- masks hyperglycemia
Diuretics
TYPES OF DIURETICS
• THIAZIDE AND THIAZIDE-LIKE – Hypotension
• LOOP OR HIGH-CEILING – Hypocalcemia ****
• OSMOTIC
• POTASSIUM-SPARING
- Assessment: Vitals, Med Hx, Fluid electrolyte imbalance, renal/hepatic function, allergies, weight
- Teaching: Take medication in AM, take w Food, Photosensitive, get up slowly, Diet, monitor
glucose
- Monitor I &O, notify PCP if output does not increase, do not push Furosemide fast
- K Wasting = Hypokalemia
- K Sparing = Hyperkalemia
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