What assessments should be made before prescribing any antihypertensive agent?
Why are ACE inhibitors the drug of choice in diabetic patients with
... [Show More] hypertension?
ACE inhibitors are a central part of the treatment of heart failure because they have more than one action to address the pathological changes in this disorder. Which of the following pathological changes in heart failure is NOT addressed by ACE inhibitors?
Heart failure is a leading cause of death and hospitalization in older adults (greater than 65 years old). The drug of choice for this population is:
ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during pregnancy is best done by a specialist, which of the following drug classes are considered to be safe, at least in the later parts of pregnancy?
Patients who have angina, regardless of Class, who are also diabetic, should be on:
Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for:
ACE inhibitors are the drug of choice in treating hypertension in diabetic patients because they:
A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following statements is true about this adverse response?
ACE inhibitors are useful in a variety of disorders. Which of the following statements are true about both its usefulness in the disorder and the reason for its use?
Despite good blood pressure control, a NP might change a patient's drug from an ACEI to an angiotensin II receptor blocker (ARB) because the ARB:
What is the drug of choice to improve symptoms for patients taking propranolol?
What is the most common adverse effect of an ACE inhibitor?
What is the action of an ACE inhibitor?
What is the action of an Angiotensin Receptor Blocker?
While taking an ARB, patients need to avoid certain over-the-counter drugs without first consulting the provider because:
Laboratory monitoring for patients on ACEIs or ARBs should include:
What ethnic background should not be prescribed long-acting beta-agonists?
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis?
Long-acting beta-agonists (LABAs) received a Black Box warning from the U.S. Food and Drug Administration due to the:
What is tiotropium (SPIRIVA) used to treat?
What is the action of a Calcium Channel Blocker?
Describe Dihydropyridine Calcium-channel blocker
Describe Nondihydropyridine calcium-channel blocker
Jacob has hypertension for which a calcium channel blocker has been prescribed. This drug helps control blood pressure because it:
Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker?
Vera, age 70, has isolated systolic hypertension. Calcium channel blocker doses for her should be:
What are the adverse effects of a dihydropyridine-type 2 calcium channel blocker?
A 70-year-old patient is admitted with peripheral edema. He is taking a calcium channel blocker and metformin. What is the cause of his peripheral edema?
What special populations should not be prescribed pseudoephedrine (sympathomimetics)?
Decongestants such as pseudoephedrine (Sudafed) Should not be prescribed or recommended for:
Cough and cold medications that contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population:
Martin is a 60-year-old with hypertension. The first-line decongestant to prescribe would be:
How is amlodipine metabolized?
A patient is prescribed amlodipine. She develops reflex tachycardia. What is the reason for the development of tachycardia?
Strathmann: Sometimes when they are used to treat angina, the vasodilation hypotension can lead to reflex tachycardia, which can be detrimental for pts with ischemic symptoms b/c of the resulting increase in myocardial oxygen demand. When amlodipine is given with a Beta blocker however, bradycardia can develop
Patient teaching related to amlodipine includes:
What drug should be prescribed for a patient with nasal congestion with hypertension?
What patient teaching will you provide when prescribing amiodarone?
What are the drug interactions with digoxin?
Digoxin levels need to be monitored closely when the following medication is started:
Larry has heart failure which is being treated with digoxin because it exhibits:
Which of the following create higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.
Serum digoxin levels are monitored for potential toxicity. Monitoring should occur:
What is the purpose of a thyroid panel with amiodarone?
Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching should include all of the following EXCEPT:
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response?
What are the adverse effects of statins?
What is nitrate tolerance?
Nitrates are especially helpful for patients with angina who also have:
Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 AM and 2 PM because:
Art is a 55-year-old smoker who has been diagnosed with angina and placed on nitrates. He complains of headaches after using his nitrate. An appropriate reply might be:
In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
Which of the following is true about procainamide and its dosing schedule?
What are the adverse effects of antihistamines?
What patient education will you provide for a client in which you have prescribed a statin?
Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to:
How will you choose a diuretic in the treatment of hypertension?
Furosemide is added to a treatment regimen for heart failure which includes digoxin.
Monitoring for this combination includes:
The choice of diuretic to use in treating hypertension is based on:
What is montelukast (Singular)?
What are the central nervous system adverse effects with montelukast (Singular)?
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed:
Montelukast (Singulair) may be prescribed for:
When administering albuterol and metformin, what should the patient be taught?
What daily medication will control asthma?
What are the adverse effects of amiodarone?
What medication is combined with a long-acting beta agonist?
What are the precautions when administering beta receptor agonists? (Sympathomimetic bronchodilators)
What are contraindications when administering beta receptor agonists? (Sympathomimetic bronchodilators)
1. Cardiac arrhythmias associated with tachycardia, heart block caused by digitalis intoxication, angina, What is the bronchodilator of choice in a patient taking a beta blocker?
What decongestant is contraindicated in children under the age of 4 years?
Name 2 anticholinergics
Name the Luekotriene receptor agonists/leukotriene modifiers (LTRA)
Clinical use of LTRA [Show Less]