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115 Pharm Module 4
medication to treat hypertension
| Question | Answer |
|---|---|
| Medications in this drug class always end in "pril". They work by blocking the PRODUCTION of angiotensin II. | Angiotensin-Converting Enzyme (ACE) inhibitors |
| If the patient is taking this medication, they should notify the provider at the first sign of a dry cough. | lisinopril |
| This medication could cause hyperkalemia (an elevated potassium level) | lisinopril |
| The nurse should monitor the patient's white blood cell count and watch for neutropenia (decrease in WBCs) when the patient is taking this medicaiton. | lisinopril |
| Monitor for angioedema (swelling of face, mouth, or airway) when the patient starts taking either of these medications. | lisinopril and losartan |
| These medications are teratogenic (not safe if pregnant or breastfeeding). | lisinopril and losartan |
| What is a major contraindication to administering any antihypertensive medication? | hypotension |
| Why are salt substitutes a bad idea for patients taking lisinopril? | Contain potassium |
| Medications in this drug class end in "sartan" and work by blocking angiotensin II FROM ATTACHING TO CELL receptors. | Angiotensin II Receptor Blockers (ARBs) |
| This specific medication is a calcium channel blocker and works by significantly blocking calcium channels in vascular smooth muscle cells of peripheral arterioles.. This results in vasodilation and a lowered blood pressure. | amlodipine |
| This medication could cause reflex tachycardia due to the abrupt decrease in blood pressure so they may also be prescribed a beta blocker. | amlodipine |
| A side effect of this medication is facial flushing and perception of heat. | amlodipine |
| The patient should not take this medication with grapefruit juice because it can cause medication toxicity resulting in severe hypotension. | amlodipine |
| In the heart, they block the beta1 receptors, which causes a decrease in heart rate and contractility. This decreases cardiac output and suppresses reflex tachycardia. In the kidney, they block renal Beta1 receptors, causing a decrease in the release of renin. What medicine is this? | metoprolol |
| This class of medications always ends in "lol". | beta blockers |
| This medication lowers the heart rate, so the nurse should not administer if the patient's HR is less than 50 bpm. | metoprolol |
| Monitor for shortness of breath and peripheral edema which are signs of heart failure if the patient is taking this medication. | metoprolol |
| Use this medicine with caution if the patient has chronic respiratory problems (like asthma and COPD) | metoprolol |
| Taking this medicine with oral hypoglycemic medications for diabetes might increase the risk of hypoglycemia (low blood sugar). | metoprolol |