EAQ 7 & 8- EXAM 2

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the purpose of asking the patient to perform a 24-hour dietary recall?

To assess the patient's dietary intake and adherence to dietary recommendations.

Which antihypertensive medication is most likely to cause tachycardia? (Select all that apply)

  • Hydralazine (correct)
  • Aliskiren
  • Diazoxide (correct)
  • Eplerenone
  • Valsartan
  • Lisinopril

Which action would the nurse perform before starting an infusion of sodium nitroprusside? (Select all that apply)

  • Evaluate the electrocardiogram (correct)
  • Draw baseline serum electrolyte levels (correct)
  • Obtain an intravenous infusion pump (correct)
  • Assess the patient for peripheral edema
  • Perform a neurologic assessment (correct)
  • Assess oxygenation and ventilation (correct)

Which medication is contraindicated for concurrent use with captopril?

<p>Spironolactone (B)</p> Signup and view all the answers

Which instruction would the nurse provide to the patient before administering the first dose of extended-release doxazosin?

<p>You will see the capsule shell in your stool, but don't worry, the drug has been absorbed. (C)</p> Signup and view all the answers

Which comment by the patient indicates understanding about the side effects of enalapril?

<p>If I develop a chronic cough, I should notify my health care provider. (D)</p> Signup and view all the answers

Which assessment finding would the nurse use as a clinical indicator of therapeutic effectiveness of candesartan?

<p>Blood pressure of 120/72 mm Hg (B)</p> Signup and view all the answers

Which nursing action is appropriate for a patient with a blood pressure reading of 200/120 mm Hg and an order from the health care provider to administer sodium nitroprusside?

<p>Monitor blood pressure continuously. (D)</p> Signup and view all the answers

Which patient finding would warrant the nurse holding the prescribed dose of amlodipine?

<p>Hypotension (C)</p> Signup and view all the answers

Which teaching is appropriate for a patient who is prescribed methyldopa during pregnancy?

<p>Sit on the side of the bed before getting up, and get up slowly. (D)</p> Signup and view all the answers

Which patient receiving losartan needs to be monitored closely while receiving this therapy?

<p>A patient with an elevated creatinine level (B)</p> Signup and view all the answers

Which action would the nurse take for a patient who is scheduled to begin treatment with carvedilol and reports frequent episodes of asthma?

<p>Notify the health care provider of this information.</p> Signup and view all the answers

Which action would the nurse take for a patient who takes bosentan and is diagnosed with liver disease?

<p>Notify the health care provider.</p> Signup and view all the answers

Which action would the nurse take for a patient who has been admitted to the hospital and placed on a strict nothing by mouth (NPO) status but who takes a daily dose of lisinopril at home?

<p>Collaborate with the health care provider to determine whether intravenous enalapril can be prescribed. (C)</p> Signup and view all the answers

Which is the priority nursing action for a patient who has developed a toxic level of sodium nitroprusside?

<p>Stop the infusion of the drug. (B)</p> Signup and view all the answers

Which adverse effect would be most concerning for a patient who is taking clonidine?

<p>Hypotension (C)</p> Signup and view all the answers

What is the calcium level mentioned?

<p>8 mEq/dL</p> Signup and view all the answers

What is the potassium level mentioned?

<p>5 mEq/dL</p> Signup and view all the answers

What is the apical pulse rate mentioned?

<p>100 beats/min</p> Signup and view all the answers

What is the blood pressure reading provided?

<p>80/60 mm Hg</p> Signup and view all the answers

Which adverse effect would require immediate medical attention for a patient taking an angiotensin-converting enzyme (ACE) inhibitor?

<p>Angioedema (B)</p> Signup and view all the answers

Which drug would the nurse plan to administer at bedtime for the first dose?

<p>Doxazosin (B)</p> Signup and view all the answers

Which risk factor for hypertension should be included when teaching a patient?

<p>Heart failure (A), Cardiovascular disease (C), Stroke (E)</p> Signup and view all the answers

Which additional medication would alert the nurse to a possible interaction with an ACE inhibitor?

<p>Ibuprofen (C), Potassium chloride (D), Spironolactone (E)</p> Signup and view all the answers

What potential interaction may occur with a patient taking losartan and ibuprofen?

<p>Ibuprofen can lead to potential renal failure. (C)</p> Signup and view all the answers

What information would the nurse include when teaching an elderly patient on extended-release doxazosin?

<p>Be especially careful when changing position after your first dose of the medication. (C), Do not be concerned if you see the matrix of the capsule in your stool. (E)</p> Signup and view all the answers

How many mg/day would the nurse administer for hydralazine 1.25 mg/kg/day for a patient weighing 22 pounds?

<p>12.5 mg/day</p> Signup and view all the answers

Which antihypertensive agent would the nurse avoid administering to a patient with diabetes mellitus?

<p>Propranolol (A)</p> Signup and view all the answers

Which effect indicates that a patient is experiencing a side effect of enalapril?

<p>A dry, hacking cough (C)</p> Signup and view all the answers

What is the best action by the nurse when a new patient taking prazosin reports swollen feet?

<p>Determine the patient's history. (A)</p> Signup and view all the answers

Which statement indicates that the patient needs additional instruction about antihypertensive treatment?

<p>I will check my blood pressure daily and take my medication when it is over 140/90 mm Hg. (C)</p> Signup and view all the answers

Which antihypertensive drug would the nurse anticipate administering for a patient who is hypertensive with liver dysfunction?

<p>Captopril (D)</p> Signup and view all the answers

Which adverse effect would the nurse monitor for in a patient prescribed an ACE inhibitor and also taking lithium?

<p>Toxic level of lithium (A)</p> Signup and view all the answers

Which intervention would be included in the care plan for a patient reporting constipation after receiving clonidine?

<p>Increase the amount of fruits and vegetables. (B), Inform the patient that this is a common side effect. (C)</p> Signup and view all the answers

Which is the most essential assessment for a patient receiving sodium nitroprusside infusion for 4 days?

<p>Serum cyanide level (C)</p> Signup and view all the answers

Which patient should the nurse assess first among those treated for hypertension?

<p>A patient who has stopped taking a beta blocker (A)</p> Signup and view all the answers

Which medication would the nurse anticipate administering if minoxidil toxicity is suspected?

<p>Intravenous fluids (A)</p> Signup and view all the answers

Which parameter would the nurse evaluate for the effectiveness of lisinopril in a hypertensive patient with heart failure?

<p>Breath sounds (C)</p> Signup and view all the answers

Which medication would the nurse anticipate to treat hypertension and improve survival after a myocardial infarction?

<p>Eplerenone (B)</p> Signup and view all the answers

Which action would the nurse expect to perform for a patient who has developed toxicity while receiving lisinopril?

<p>Send the patient for hemodialysis. (D)</p> Signup and view all the answers

Which rationale explains how ACE inhibitors treat hypertension?

<p>They reduce afterload. (B), Systemic vascular resistance (SVR) is decreased. (D)</p> Signup and view all the answers

What priority action should the nurse take for a patient developing pulmonary edema while on ACE inhibitors?

<p>Instruct the patient to reduce dietary sodium.</p> Signup and view all the answers

Which assessment finding would require patient teaching about treatment for hypertension?

<p>Systolic pressure consistently above 140 mm Hg (A)</p> Signup and view all the answers

Which statement would the nurse include in the teaching plan for a patient who is diagnosed with idiopathic hypertension?

<p>The cause of your hypertension is unknown but treatable. (A)</p> Signup and view all the answers

Which goal does antihypertensive therapy aim for?

<p>Reducing renal morbidity and mortality (B)</p> Signup and view all the answers

Which antihypertensive drug has a black box warning?

<p>Aliskiren (D)</p> Signup and view all the answers

Which antihypertensive drug has asthma as a contraindication?

<p>Carvedilol (B)</p> Signup and view all the answers

Which item taken with adrenergic drugs causes additive central nervous system (CNS) depression?

<p>Alcohol (C)</p> Signup and view all the answers

Which alpha1-blocker drug is most commonly prescribed?

<p>Doxazosin (Cardura) (B)</p> Signup and view all the answers

Which antihypertensive drug is said to cause a lesser degree of sexual dysfunction?

<p>Nebivolol (D)</p> Signup and view all the answers

Which black box warning is given on nitroprusside?

<p>Hypotension (D)</p> Signup and view all the answers

Which drug is commonly known as Viagra?

<p>Sildenafil (B)</p> Signup and view all the answers

Which response is appropriate by the nurse to the patient who states he has had some problems with erectile dysfunction since starting antihypertensive drug therapy 3 months ago?

<p>The health care provider can work with you on changing the dose or medication. (D)</p> Signup and view all the answers

Which statement by the nurse demonstrates knowledge of the use of calcium channel blockers (CCBs) for management of hypertension?

<p>CCBs relax vascular smooth muscle. (A)</p> Signup and view all the answers

Which is the most appropriate site for the patient to apply a transdermal clonidine patch?

<p>Upper arm (C)</p> Signup and view all the answers

Which effect would the nurse anticipate from the interaction between an angiotensin II blocker and a nonsteroidal anti-inflammatory drug?

<p>Decreased effect of the angiotensin II receptor-blocker drug (A)</p> Signup and view all the answers

Which result would the nurse anticipate from the interaction between an angiotensin II receptor blocker and rifampin?

<p>Decreased effect of the angiotensin II receptor-blocker drug (B)</p> Signup and view all the answers

Which information would the nurse provide to a patient who is prescribed a clonidine transdermal patch?

<p>Get up slowly from a sitting to a standing position. (A)</p> Signup and view all the answers

Which assessment finding indicates a therapeutic effect of clonidine?

<p>Blood pressure decrease from 150/100 mm Hg to 110/70 mm Hg. (C)</p> Signup and view all the answers

Which medication will decrease vasoconstriction by blocking angiotensin II receptor sites?

<p>Valsartan (B)</p> Signup and view all the answers

Which nursing intervention is appropriate for a patient who is taking hydrochlorothiazide?

<p>Encourage intake of foods rich in potassium. (A)</p> Signup and view all the answers

Which side effect of an alpha-adrenergic antagonist drug would the nurse monitor for after the patient receives the first dose?

<p>Syncope (C)</p> Signup and view all the answers

Which information does the nurse need to include in the teaching plan for a patient who is receiving transdermal clonidine?

<p>Remove the old patch before applying the new patch. (B)</p> Signup and view all the answers

Which nursing intervention is a priority for a patient who is prescribed a nonselective beta blocker?

<p>Respiratory assessment (B)</p> Signup and view all the answers

Which type of diuretic would the nurse anticipate will be used as a first-line drug therapy for a patient with hypertension?

<p>Thiazide (C)</p> Signup and view all the answers

Which statement would the nurse include in the teaching plan about the reason for the administration of calcium channel blockers?

<p>This medication will vasodilate your blood vessels to lower your blood pressure. (D)</p> Signup and view all the answers

Which assessment finding indicates a therapeutic effect for a patient taking an alpha-blocker?

<p>Increased urinary output (A)</p> Signup and view all the answers

Which assessment finding indicates that a patient is having an adverse effect of adrenergic drug therapy for hypertension?

<p>Heart rate of 40 beats/min (A)</p> Signup and view all the answers

Which antihypertensive medication is used to treat pulmonary artery hypertension related to severe heart failure?

<p>Treprostinil (A)</p> Signup and view all the answers

Which action would the nurse take for a patient who takes an angiotensin-converting enzyme inhibitor and developed a dry, uncomfortable, nonproductive cough?

<p>Consult with the health care provider to switch the medication (A)</p> Signup and view all the answers

Which finding indicates that the patient is experiencing adverse effects of hydralazine? Select all that apply.

<p>Vomiting and diarrhea (A), Headache (C), Dizziness (E)</p> Signup and view all the answers

Which assessment finding requires immediate action for a patient who is prescribed amlodipine?

<p>Blood pressure lower than 90/60 mm Hg</p> Signup and view all the answers

What is the priority nursing action for a patient with pulmonary edema despite taking a positive inotrope and an ACE inhibitor?

<p>Collaborate with the health care provider to change the ACE inhibitor to a combination ACE inhibitor and thiazide diuretic.</p> Signup and view all the answers

Which antihypertensive medication is most likely to cause tachycardia? (Select all that apply)

<p>Diazoxide (D), Hydralazine (F)</p> Signup and view all the answers

Which action would the nurse perform before starting an infusion of sodium nitroprusside? (Select all that apply)

<p>Perform a neurologic assessment. (A), Obtain an intravenous infusion pump. (C), Draw baseline serum electrolyte levels. (D), Evaluate the electrocardiogram. (E), Assess oxygenation and ventilation. (F)</p> Signup and view all the answers

Which medication is contraindicated for concurrent use with captopril?

<p>Spironolactone</p> Signup and view all the answers

Which instruction would the nurse provide to the patient before administering the first dose of extended-release doxazosin?

<p>You will see the capsule shell in your stool, but don't worry, the drug has been absorbed. (A)</p> Signup and view all the answers

Which comment by the patient indicates understanding about the side effects of enalapril?

<p>If I develop a chronic cough, I should notify my health care provider.</p> Signup and view all the answers

What assessment finding would indicate the therapeutic effectiveness of candesartan?

<p>Blood pressure of 120/72 mm Hg</p> Signup and view all the answers

Which nursing action is appropriate for a patient with a blood pressure reading of 200/120 mm Hg who is to receive sodium nitroprusside?

<p>Monitor blood pressure continuously.</p> Signup and view all the answers

What patient finding would warrant the nurse holding the prescribed dose of amlodipine?

<p>Hypotension</p> Signup and view all the answers

Which teaching is appropriate for a patient who is prescribed methyldopa during pregnancy?

<p>Sit on the side of the bed before getting up, and get up slowly.</p> Signup and view all the answers

Which patient receiving losartan needs to be monitored closely while receiving this therapy?

<p>A patient with an elevated creatinine level.</p> Signup and view all the answers

What action would the nurse take for a patient scheduled to begin treatment with carvedilol and who reports frequent episodes of asthma?

<p>Notify the health care provider of this information.</p> Signup and view all the answers

What action would the nurse take for a patient diagnosed with liver disease and taking bosentan?

<p>Notify the health care provider.</p> Signup and view all the answers

What is the priority nursing action for a patient who has developed a toxic level of sodium nitroprusside?

<p>Stop the infusion of the drug.</p> Signup and view all the answers

Which adverse effect would be most concerning for a patient taking clonidine?

<p>Hypotension</p> Signup and view all the answers

What is the calcium level provided?

<p>8 mEg/dL</p> Signup and view all the answers

What is the potassium level provided?

<p>5 mEg/dL</p> Signup and view all the answers

What is the apical pulse rate provided?

<p>100 beats/min</p> Signup and view all the answers

What is the blood pressure reading provided?

<p>80/60 mm Hg</p> Signup and view all the answers

Which adverse effect would require immediate medical attention for a patient who is taking an angiotensin-converting enzyme (ACE) inhibitor?

<p>Angioedema (C)</p> Signup and view all the answers

Which drug would the nurse plan to administer at bedtime for the first dose?

<p>Doxazosin (A)</p> Signup and view all the answers

Which risk factor for hypertension would be included when teaching a patient why hypertension must be treated? (Select all that apply)

<p>Stroke (A), Heart failure (B), Cardiovascular disease (E)</p> Signup and view all the answers

Which additional medication in a patient's treatment regimen would alert the nurse to a possible interaction with an angiotensin-converting enzyme (ACE) inhibitor? (Select all that apply)

<p>Spironolactone (B), Ibuprofen (C), Potassium chloride (E)</p> Signup and view all the answers

What is a potential interaction for a patient taking losartan and ibuprofen?

<p>Ibuprofen can lead to potential renal failure.</p> Signup and view all the answers

Which statement about extended-release doxazosin is true? (Select all that apply)

<p>Do not be concerned if you see the matrix of the capsule in your stool. (A), Be especially careful when changing position after your first dose of the medication. (B)</p> Signup and view all the answers

How many mg/day would the nurse plan to administer with an order to administer hydralazine 1.25 mg/kg/day when the patient weighs 22 pounds?

<p>12.5 mg/day</p> Signup and view all the answers

Which antihypertensive agent would the nurse avoid administering to a patient with diabetes mellitus?

<p>Propranolol (D)</p> Signup and view all the answers

Which effect indicates that a patient is experiencing a side effect of enalapril?

<p>A dry, hacking cough (D)</p> Signup and view all the answers

Which action would the nurse expect to perform for a patient who has developed toxicity while receiving lisinopril?

<p>Send the patient for hemodialysis (B)</p> Signup and view all the answers

Which priority action would the nurse take for a patient who develops pulmonary edema while taking a positive inotrope and an ACE inhibitor for heart failure?

<p>Instruct the patient to reduce dietary sodium (C)</p> Signup and view all the answers

Which assessment finding would require patient teaching about treatment for hypertension?

<p>Systolic pressure consistently above 140 mm Hg (A)</p> Signup and view all the answers

Which statement would the nurse include in the teaching plan for a patient who is diagnosed with idiopathic hypertension?

<p>The cause of your hypertension is unknown but treatable. (B)</p> Signup and view all the answers

Which goal does antihypertensive therapy aim for?

<p>Reducing renal morbidity and mortality (B)</p> Signup and view all the answers

Which antihypertensive drug has a black box warning?

<p>Aliskiren (C)</p> Signup and view all the answers

Which antihypertensive drug has asthma as a contraindication?

<p>Carvedilol (D)</p> Signup and view all the answers

Which item taken with adrenergic drugs causes additive central nervous system (CNS) depression?

<p>Alcohol (A)</p> Signup and view all the answers

Which alpha1-blocker drug is most commonly prescribed?

<p>Doxazosin (Cardura) (D)</p> Signup and view all the answers

Which antihypertensive drug is said to cause a lesser degree of sexual dysfunction?

<p>Nebivolol (C)</p> Signup and view all the answers

Which black box warning is given on nitroprusside?

<p>Hypotension (A)</p> Signup and view all the answers

Which drug is commonly known as Viagra?

<p>Sildenafil (D)</p> Signup and view all the answers

Which response is appropriate by the nurse to the patient who states he has had problems with erectile dysfunction since starting antihypertensive drug therapy?

<p>The health care provider can work with you on changing the dose or medication. (C)</p> Signup and view all the answers

Which statement by the nurse demonstrates knowledge of use of calcium channel blockers (CCBs) for management of hypertension?

<p>CCBs relax vascular smooth muscle. (C)</p> Signup and view all the answers

Which is the most appropriate site for the patient to apply a transdermal clonidine patch?

<p>Upper arm (C)</p> Signup and view all the answers

Which effect would the nurse anticipate from the interaction between an angiotensin II blocker and a nonsteroidal anti-inflammatory drug?

<p>Decreased effect of the angiotensin II receptor-blocker drug (D)</p> Signup and view all the answers

Which result would the nurse anticipate from the interaction between an angiotensin II receptor blocker and rifampin?

<p>Decreased effect of the angiotensin II receptor-blocker drug (C)</p> Signup and view all the answers

Which information would the nurse provide to a patient who is prescribed a clonidine transdermal patch?

<p>Get up slowly from a sitting to a standing position. (B)</p> Signup and view all the answers

Which assessment finding indicates a therapeutic effect of clonidine?

<p>Blood pressure decrease from 150/100 mm Hg to 110/70 mm Hg (B)</p> Signup and view all the answers

Which medication will decrease vasoconstriction by blocking angiotensin II receptor sites?

<p>Valsartan (D)</p> Signup and view all the answers

Which nursing intervention is appropriate for a patient who is taking hydrochlorothiazide?

<p>Encourage intake of foods rich in potassium. (D)</p> Signup and view all the answers

Which side effect of an alpha-adrenergic antagonist drug would the nurse monitor for after the patient receives the first dose?

<p>Syncope (B)</p> Signup and view all the answers

Which information does the nurse need to include in the teaching plan for a patient who is receiving transdermal clonidine?

<p>Remove the old patch before applying the new patch. (D)</p> Signup and view all the answers

Which nursing intervention is a priority for a patient who is prescribed a nonselective beta blocker?

<p>Respiratory assessment (A)</p> Signup and view all the answers

Which type of diuretic would the nurse anticipate will be used as a first-line drug therapy for a patient with hypertension?

<p>Thiazide (D)</p> Signup and view all the answers

Which statement would the nurse include in the teaching plan about the reason for the administration of calcium channel blockers?

<p>This medication will vasodilate your blood vessels to lower your blood pressure. (D)</p> Signup and view all the answers

Which assessment finding indicates a therapeutic effect for a patient taking an alpha blocker?

<p>Increased urinary output (C)</p> Signup and view all the answers

Which assessment finding indicates that a patient is having an adverse effect of adrenergic drug therapy for hypertension?

<p>Heart rate of 40 beats/min (C)</p> Signup and view all the answers

Which antihypertensive medication is used to treat pulmonary artery hypertension related to severe heart failure?

<p>Treprostinil (C)</p> Signup and view all the answers

Which action would the nurse take for a patient who takes an angiotensin-converting enzyme inhibitor and developed a dry, uncomfortable, nonproductive cough that has persisted for several weeks?

<p>Consult with the health care provider to switch the medication (A)</p> Signup and view all the answers

Which finding indicates that the patient is experiencing adverse effects of hydralazine? Select all that apply.

<p>Dizziness (A), Vomiting and diarrhea (B), Headache (E)</p> Signup and view all the answers

Flashcards

Hypertension Assessment

Persistent systolic pressure above 140 mmHg and/or diastolic pressure above 90 mmHg, not diagnosed after a single elevated reading.

Idiopathic Hypertension

Essential hypertension; the cause is unknown but treatable.

Antihypertensive Therapy Goal

Reduce cardiovascular and renal morbidity and mortality. Aimed at preventing long-term organ damage associated with high blood pressure.

Aliskiren Black Box Warning

Aliskiren (a renin inhibitor) has a black box warning for use during pregnancy.

Signup and view all the flashcards

Carvedilol Contraindication

Asthma is a contraindication for noncardioselective beta-blockers like carvedilol.

Signup and view all the flashcards

Adrenergic Drug & CNS Depression

Alcohol, benzodiazepines, and opioids can cause additive central nervous system depression when taken with adrenergic drugs.

Signup and view all the flashcards

Most Common Alpha1-Blocker

Doxazosin is the most commonly prescribed alpha1-blocker for hypertension.

Signup and view all the flashcards

Sexual Dysfunction & Antihypertensives

Some antihypertensive drugs, like beta-blockers, can cause erectile dysfunction.

Signup and view all the flashcards

Nitroprusside Black Box Warning

Nitroprusside has a black box warning for hypotension and cyanide toxicity.

Signup and view all the flashcards

Viagra's Active Ingredient

Sildenafil is the active ingredient in Viagra.

Signup and view all the flashcards

Antihypertensive & ED

Antihypertensives can cause ED; consult the healthcare provider to discuss options.

Signup and view all the flashcards

Calcium Channel Blockers (CCBs) Mechanism

CCBs relax vascular smooth muscle, causing vasodilation, which lowers blood pressure.

Signup and view all the flashcards

Clonidine Patch Application

Apply patches to non-hairy areas like the upper arm for optimal contact.

Signup and view all the flashcards

ACE Inhibitor & NSAID Interaction

Taking an ACE inhibitor with an NSAID might decrease the ACE inhibitor's effectiveness.

Signup and view all the flashcards

Angiotensin II Receptor Blocker & Rifampin Interaction

Rifampin can lower the effectiveness of angiotensin II receptor blockers.

Signup and view all the flashcards

Clonidine Patch Instructions

Leave the patch for 7 days and don't remove it unless instructed.

Signup and view all the flashcards

Adverse effect of ACE inhibitor

Angioedema, a severe vascular reaction that can lead to anaphylaxis.

Signup and view all the flashcards

Best time for Doxazosin

Administered at bedtime to reduce the risk of first-dose syncope (fainting).

Signup and view all the flashcards

Hypertension risk factors

Stroke, heart failure, and cardiovascular disease are linked to hypertension.

Signup and view all the flashcards

ACE inhibitor interaction

Potassium-sparing diuretics (like spironolactone) and NSAIDs (like ibuprofen) can interact with ACE inhibitors, potentially increasing risk of hyperkalemia or renal failure.

Signup and view all the flashcards

Losartan & Ibuprofen interaction

Ibuprofen can decrease the effectiveness of losartan and potentially lead to renal failure.

Signup and view all the flashcards

Extended-release Doxazosin

The inactive capsule matrix is expelled in the stool, and the patient should be aware of this.

Signup and view all the flashcards

Hydralazine dosage calculation

Convert pounds to kilograms (2.2 lbs = 1 kg), then multiply by the dosage per kg/day.

Signup and view all the flashcards

Beta-blocker & Diabetes

Nonselective beta-blockers (like propranolol) can mask symptoms of hypoglycemia (low blood sugar), which is dangerous for diabetics.

Signup and view all the flashcards

Enalapril side effect

A dry, nonproductive cough is a common side effect of ACE inhibitors like enalapril.

Signup and view all the flashcards

Prazosin & Swollen Feet

Swollen feet may be a side effect of prazosin that takes 4 weeks to have full effect.

Signup and view all the flashcards

Patient teaching for antihypertensives

Taking medication routinely, even when feeling well, is needed to manage hypertension.

Signup and view all the flashcards

Hypertension & Liver Dysfunction

Captopril is preferred for patients with liver issues because it is not a prodrug.

Signup and view all the flashcards

ACE inhibitor & Lithium toxicity

ACE inhibitors can lead to increased lithium levels, potentially causing lithium toxicity.

Signup and view all the flashcards

Clonidine & Constipation

Clonidine, an adrenergic medication, can cause constipation; increased fiber, fluids, and psyllium may help.

Signup and view all the flashcards

Nitroprusside Toxicity

Prolonged nitroprusside infusion increases risk of cyanide and thiocyanate toxicity, requiring monitoring of serum levels.

Signup and view all the flashcards

24-hour dietary recall

A method of assessing a patient's dietary intake over a 24-hour period.

Signup and view all the flashcards

Daily Weighting

Regularly monitoring a patient's weight to track fluid balance and overall health.

Signup and view all the flashcards

ACE inhibitor + diuretic

A combination of medications used to treat hypertension or heart failure, often improving patient compliance.

Signup and view all the flashcards

Pulmonary Edema

Buildup of fluid in the lungs, a serious symptom of heart failure.

Signup and view all the flashcards

Diazoxide, Hydralazine

Direct-acting vasodilators that can cause tachycardia as a side effect due to blood pressure reduction.

Signup and view all the flashcards

Sodium Nitroprusside

A potent vasodilator used to quickly reduce blood pressure.

Signup and view all the flashcards

Baseline Assessment

Initial evaluation of a patient's vital signs, neurologic status, and other parameters before treatment in case of issues.

Signup and view all the flashcards

Hyperkalemia

High potassium levels in the blood. Often a side effect associated with ACE inhibitors & diuretics.

Signup and view all the flashcards

Captopril & Spironolactone

Concurrent use can increase potassium levels.

Signup and view all the flashcards

Extended-release Doxazosin

A medication that is given in an extended-release format, will be seen in stool in capsule form.

Signup and view all the flashcards

Chronic Cough

A potential side effect of ACE inhibitors like enalapril, which should be reported to the doctor.

Signup and view all the flashcards

Therapeutic Effect of Candesartan

Effective blood pressure reduction (120/72 mm Hg), a result of dilating arterioles and veins.

Signup and view all the flashcards

Continuous Blood Pressure Monitoring

Vital for ensuring safety, especially after administration of a medication like sodium nitroprusside which can cause rapid BP drops.

Signup and view all the flashcards

Hypotension Contraindication

Low blood pressure is a reason to hold a medication dose, especially one that will cause a further BP drop.

Signup and view all the flashcards

Clonidine

Adrenergic medication that may cause postural hypotension, which can pose a risk for falls.

Signup and view all the flashcards

Hypertension Assessment

Persistent high blood pressure (systolic > 140 mmHg and/or diastolic > 90 mmHg), not diagnosed after a single elevated reading.

Signup and view all the flashcards

Idiopathic Hypertension

High blood pressure with no known cause, but it is treatable.

Signup and view all the flashcards

Antihypertensive Therapy Goal

Reduce cardiovascular and kidney problems and death.

Signup and view all the flashcards

Aliskiren Black Box Warning

Aliskiren is not recommended for pregnant women.

Signup and view all the flashcards

Carvedilol Contraindication

Asthma patients should avoid non-selective beta-blockers like Carvedilol.

Signup and view all the flashcards

Adrenergic Drug & CNS Depression

Mixing adrenergic drugs with alcohol, benzodiazepines, or opioids can worsen drowsiness.

Signup and view all the flashcards

Most Common Alpha1-Blocker

Doxazosin is most often prescribed for high blood pressure.

Signup and view all the flashcards

Sexual Dysfunction & Antihypertensives

Some high blood pressure medications may cause erectile dysfunction.

Signup and view all the flashcards

Nitroprusside Black Box Warning

Avoid extended use due to possible cyanide poisoning and severe low blood pressure.

Signup and view all the flashcards

Viagra's Active Ingredient

Sildenafil is active in Viagra.

Signup and view all the flashcards

Antihypertensive & ED

Certain high blood pressure medications can cause erectile dysfunction; discuss options with your doctor.

Signup and view all the flashcards

Calcium Channel Blockers (CCBs) Mechanism

CCBs open blood vessels by relaxing smooth muscles, lowering blood pressure.

Signup and view all the flashcards

Clonidine Patch Application

Apply the patch to a non-hairy area.

Signup and view all the flashcards

ACE Inhibitor & NSAID Interaction

NSAIDs may lessen the effect of ACE inhibitors.

Signup and view all the flashcards

Angiotensin II Receptor Blocker & Rifampin Interaction

Rifampin may lessen the effectiveness of ARB's.

Signup and view all the flashcards

Clonidine Patch Instructions

Leave the patch on for 7 days. Remove OLD patch, replace with new one.

Signup and view all the flashcards

Calcium level (8 mEg/dL)

A calcium level of 8 mEq/dL is within the normal range.

Signup and view all the flashcards

Potassium level (5 mEg/dL)

A potassium level of 5 mEq/dL is within the normal range.

Signup and view all the flashcards

Apical pulse (100 bpm)

An apical pulse rate of 100 beats per minute is within the normal range for a patient.

Signup and view all the flashcards

Blood pressure (80/60 mmHg)

A blood pressure of 80/60 mmHg is low and requires immediate attention from a healthcare professional and the medication may need to be held.

Signup and view all the flashcards

ACE inhibitor adverse effect

Angioedema (swelling of the tissues) is a potentially life-threatening side effect of ACE inhibitors.

Signup and view all the flashcards

Best time for Doxazosin

Doxazosin should be taken at bedtime to avoid first-dose orthostatic hypotension.

Signup and view all the flashcards

Hypertension risk factor

Hypertension significantly increases the risk of stroke, heart failure, and cardiovascular disease.

Signup and view all the flashcards

ACE inhibitor interaction

Potassium-sparing diuretics and NSAIDs may interact with ACE inhibitors, potentially leading to hyperkalemia or kidney problems.

Signup and view all the flashcards

Losartan & Ibuprofen interaction

Ibuprofen can reduce the effectiveness of losartan and may increase the chance of kidney damage, especially with renal risk factors.

Signup and view all the flashcards

Extended-release Doxazosin

The inactive capsule matrix may be seen in the stool; this is normal and doesn't indicate a need for more medication.

Signup and view all the flashcards

Hydralazine dosage calc

Calculate dosage by converting pounds to kilograms (1kg=2.2lbs) and multiplying by the dosage per kg/day.

Signup and view all the flashcards

Beta-blocker & Diabetes

Nonselective beta-blockers can mask the symptoms of low blood sugar (hypoglycemia), which is dangerous for patients with diabetes.

Signup and view all the flashcards

Enalapril side effect

A dry, nonproductive cough is a frequent side effect of ACE inhibitors, including enalapril.

Signup and view all the flashcards

Hypertension & Liver Dysfunction

In liver impairment, captopril is preferred because it doesn't need liver conversion to be active.

Signup and view all the flashcards

ACE inhibitor & Lithium toxicity

Concurrent use of ACE inhibitors and lithium may increase lithium levels, potentially leading to toxicity.

Signup and view all the flashcards

Clonidine & Constipation

Clonidine can cause constipation; increasing fiber, fluids, and certain fiber supplements can help.

Signup and view all the flashcards

24-hour dietary recall

Assessing a patient's food intake over 24 hours.

Signup and view all the flashcards

Daily Weighting

Monitoring a patient's weight daily for fluid balance.

Signup and view all the flashcards

ACE inhibitor + diuretic

Combining ACE inhibitors and a diuretic to treat hypertension/heart failure.

Signup and view all the flashcards

Pulmonary Edema

Fluid buildup in the lungs, a serious heart failure symptom.

Signup and view all the flashcards

Diazoxide, Hydralazine

Direct-acting vasodilators potentially causing tachycardia.

Signup and view all the flashcards

Sodium Nitroprusside

Potent vasodilator for rapid blood pressure reduction.

Signup and view all the flashcards

Baseline Assessment

Initial evaluation of patient before treatment.

Signup and view all the flashcards

Hyperkalemia

High potassium levels in the blood, often a side effect of specific drugs.

Signup and view all the flashcards

Captopril & Spironolactone

Combined use can increase potassium levels.

Signup and view all the flashcards

Extended-release Doxazosin

Capsule excreted in stool; don't mistake missing for lack of absorption.

Signup and view all the flashcards

Continuous Blood Pressure Monitoring

Vital after administering drugs that can cause sudden BP changes.

Signup and view all the flashcards

Hypotension Contraindication

Low blood pressure is a reason to hold a medication that could further decrease BP.

Signup and view all the flashcards

Clonidine

Adrenergic medication with potential for postural hypotension.

Signup and view all the flashcards

Nitroprusside Toxicity

Prolonged infusion causing cyanide/thiocyanate toxicity.

Signup and view all the flashcards

Chronic Cough

Potential side effect of ACE inhibitors like enalapril, needs reporting.

Signup and view all the flashcards

Related Documents

EAQ 8.pdf

More Like This

Use Quizgecko on...
Browser
Browser