NUR 3110 Study Guide With
Complete Solution
Cardioprotective-ANSWER means all mechanisms and means that contribute
to the protection of the heart by reducing or even preventing myocardial
damage.
reflex tachycardia-ANSWER When the blood pressure falls, there is an
increase in heart rate in an attempt to elevate it.
coronary artery disease - ANSWER The most common cause is the buildup of
plaque. This narrows the coronary arteries, reducing blood flow to the heart.
Coronary artery disease can be any of a range from no symptoms to chest
pain to a heart attack. Treatments include lifestyle changes, medications,
angioplasty, and surgery.
Lipoproteins - ANSWER · Lipoproteins are particles composed of protein
combined with lipids (fats). They carry cholesterol and triglycerides. They
carry cholesterol through your bloodstream to your cells. The two main
groups of lipoproteins are called HDL, or "good" cholesterol, and LDL, or
"bad" cholesterol. HDL carries cholesterol back to your liver to be flushed out
of your body. LDL increases your risk for coronary artery disease, heart
attacks, and stroke. LDL carries cholesterol that builds up as plaque inside
blood vessels. Other varieties of "bad cholesterol" include very low-density
lipoproteins. VLDLs carry triglycerides — and to a lesser extent, cholesterol —
to your tissues.
Myopathy - ANSWER disease of the muscle in which the muscle fibers do not
,function properly. Cardiomyopathy is a disease that affects your
myocardium-heart muscle. Cardiomyopathy can make your heart stiffen,
enlarge or thicken and can cause scar tissue. As a result, your heart can't
pump blood effectively to the rest of your body. In time, your heart can
weaken and cardiomyopathy can lead to heart failure. Caused bt CAD,
diabetes, hypertension, lifestyle
Rhabdomyolysis - ANSWER A breakdown of muscle tissue that releases a
damaging protein into the blood and can cause kidney damage. S/S dark
reddish urine, muscle aches and weakness.
intracranial hemorrhage - ANSWER · also known as intracranial bleed, is
bleeding within the skull.
Atrial fibrillation - ANSWER Irregular heart rhythm that begins in your heart's
upper chambers (atria). Symptoms include: Fatigue Heart palpitations
Trouble breathing Dizziness Afib is one of the most common arrhythmias.
Risk factors include: High blood pressure Coronary artery disease Having
obesity AFib can lead to blood clots in the heart. The condition also increases
the risk for stroke, heart failure and other heart-related complications.
ACE inhibitors lisinopril Indications - ANSWER Antihypertensive, they lower
high blood pressure
ACE inhibitors MOA - ANSWER Blocks angiotensin 1 angiotensin 2
Angiotensin is a hormone that helps regulate your blood pressure by
constricting or narrowing blood vessels and triggering water and salt sodium
intake
Lisinopril Side effects/adverse effects - ANSWER nonproductive cough-can
wake people up at night-very common makes some people not tolerate
, medicine, dizziness, hyperkalemia, angioedema-facial swelling can block
airway, tachycardia, hypotension
lisinopril Contraindications - ANSWER pregnancy, K sparing
diuretics-because hyperkalemia SE, salt substitutes with
potassium-hyperkalemia
Lisinopril Patient education - ANSWER take as directed without interruption,
discontinue if pregnant, avoid potassium salt, report edema of the face, lips,
tongue or throat or severe dizziness or fainting
Lisinopril Nursing considerations - ANSWER African adults and older adults
are less likely to respond to ACE inhibitor monotherapy
ARBs (-sartan, ie losartan) contraindications - ANSWER Hypertension
ARBs (-sartan, ie losartan) MOA - ANSWER Prevent release of aldosterone,
block angiotensin 2 from receptors (RAAS system is hormone system that
regulates BP)
Losartan - ANSWER dizziness, hypotension, headache, hyperkalemia,
hyperglycemia
Losartan Contraindications - ANSWER may lead to hyperkalemia in patients
with renal disease or patients taking agents likely to cause hyperkalemia(K+
supplements, K+ sparing diuretics, ACEIs, DRIs, non-steroidal
anti-inflammatory agents)
Losartan is what kind of drug - ANSWER ARB
ARB Pt Education - ANSWER ARBs are generally well-tolerated but, like all
drugs they may cause unwanted effects, which include dizziness, headache
and fatigue. These may improve after a few days. Once you commence the