Angina, Coronary Artery Disease, & Migraines - Patients that are at highest risk for abruptly stopping a beta blocker are those
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Angiotensin-converting enzyme (ACE) inhibitors - The medication that helps the imbalance between myocardial oxygen supply and myocardial oxygen demand in the myocardium by increasing the myocardial oxygen supply
improves insulin sensitivity
improves renal hemodynamics
reduce production of angiotensin II - Roles of Angiotensin-converting enzyme (ACE) inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and preload - The pathological change that takes place in HF that is not addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque - Reason why nitro glycerin tablets "do not work well" in patient with hyperlipidemia and angina age
factoring in the cost to the patient of the medication prescribed - Clinical judgement in prescribing includes
decreased renal function - Prior to prescribing an ACE inhibitor the NP should access for
statins - First-line pharmacologic therapy for hyperlipidemia
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily living - When is consultation with or referral to a cardiologist appropriate?
Diuretics - If not chosen as the first drug in hypertension treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?
Determine their other risk factors - A 65-year-old patient who has been on a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her LDL is 135mg/dL. What would an appropriate treatment for them be?
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, which increases contractility, which increase the activity of the NA+/K+/ATPase pump indirectly - Calcium Channel Blocker's helps control blood pressure because it
discussion of expected adverse drug reactions - Patient education regarding prescribed medications includes
Do not take any herbal products without first discussing this with the provider - Patient education when prescribing clopidogrel includes which of the following statements?
If they stop the medication, their lipid levels will return to pretreatment levels; medication is a supplement to diet therapy and exercise; and if they have muscle aches or pain, they should contract their provider - When starting a patient on a statin, what would education include?
Lung - When treating a patient for hypertension with a non-selective beta blocker, what other organ may be unintentionally affected?
The brand name of warfarin and "do not substitute" - When writing a prescription for warfarin it is common to write this on the prescription
Sublingual tablets - Which formulation of nitrate may be most cost effective for the patient who rarely has the need for dosing?
Asthma - What disease processes could be made worse by taking a nonselective beta blocker?
Oral Methyldopa - What drug is considered as treatment for hypertension in women during pregnancy?
bismuth subsalicylate before each meal and at bedtime - Treatment for possible traveler's diarrhea
electrolytes, including potassium and chloride - Elderly prescribed lactulose for chronic constipation; Monitoring with long-tern treatment would include [Show Less]