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PC707 Module 4 Cardiac Exam Questions And Complete Answers $21.49   Add to cart

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PC707 Module 4 Cardiac Exam Questions And Complete Answers

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PC707 Module 4 Cardiac Exam Questions And Complete Answers What are contraindications with thiazide diuretics? Contains sulfa (careful with certain sulfa drugs) depending on allergy history; sulfonamide-derived drugs) Significant renal impairment Pre-existing hypokalemia What are the indica...

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  • October 13, 2024
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  • Exam (elaborations)
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  • PC707
  • PC707
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UpperClass
PC707 Module 4 Cardiac Exam Questions
And Complete Answers

What are contraindications with thiazide diuretics? Contains sulfa (careful with certain

sulfa drugs) depending on allergy history; sulfonamide-derived drugs)

Significant renal impairment

Pre-existing hypokalemia




What are the indications for using a thiazide diuretic? HTN and edema




What are the PEARLs with thiazide diuretics? Great as add-on agent for HTN as it can

potentiate effectiveness of the initial drug

Can be useful for women with osteoporosis and HTN because of the calcium-sparing effects




What is the MOA for ACE inhibitors? (ACEI) blocks conversion of angiotensin I to

angiotensin II by inhibiting ACE (which is responsible for this conversion)

Angiotensin II is a potent vasoconstrictor, so by inhibiting it, less constriction occurs

Inhibits degradation of bradykinin and increases the synthesis of vasodilating prostaglandins

, PC707 Module 4 Cardiac Exam Questions
And Complete Answers
What are the potential S/E of ACEI? cough (dry tacky new cough, occurs in approx. 10 %

of population; try switching to an ARB)

Hyperkalemia

Renal function deterioration

Angioedema




Who is at increased risk of developing ACEI induced angioedema? Women


African Americans (up to a 5 % increase)




Explain the ACEI cough it is a dry, hacking, nonproductive one that usually occurs within

the first few months of treatment and should generally resolve within 1-4 weeks after

discontinuation. Rule out other causes of cough first.




Are there any potential D2D interactions with ACEI? Yes with ARBs




Contraindications of ACEI? caution in patients with worsening kidney disease,

contraindicated with bilateral kidney stenosis

already existing hyperkalemia

, PC707 Module 4 Cardiac Exam Questions
And Complete Answers

What are the monitoring parameters for ACEI? renal function baseline 1-2 weeks after

starting and then periodically

Monitor K




Use of ACEI in pregnancy, lactation, children and elderly? use caution in elderly

regarding renal function and hyperkalemia, ok for pets

Not for pregnancy




What is the MOA of ARBs? Blocks the vasocontricting and aldosterone-secreting effects

of angiotensin II by selectively blocking the binding of angiotensin II to the angiotensin II

receptor found in many issues (less binding results in less constricting)




Potential S/E of ARBs? Hyperkalemia


Angioedema

Renal function deterioration




What are the indications for use in ARBs? HTN and HF

, PC707 Module 4 Cardiac Exam Questions
And Complete Answers

What are the contraindications of ARBs? taking an ACEI


bilateral renal stenosis (it can cause renal failure)

worsening renal function

Pre-existing hyperkalemia




What are the monitoring parameters of ARBs? Monitor renal function and potassium

levels




Use of ARBs in pregnancy, lactation, children and the elderly? Elderly- caution regarding

renal function and hyperkalemia

Children- ok to take

Not in pregnancy




What are the uses of CCB (Calcium Channel Blockers)? HTN


Angina

A-fib (rate control)

PSVT & SVT

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