CARDIOVASCULAR & RENAL SYSTEMS ACE Inhibitors
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ACE Inhibitors Inhibit conversion of_____ to angiotensin II | angiotensin I
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Ace inhibitors _________ &____resorption by inhibiting aldosterone secretion (causes diuresis & decreases blood volume & return to the heart) | Prevent sodium & water
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Capoten (captopril) is the drug of choice for ____ . | hypertensive patients with heart failure
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What is the common drug for ACE inhibitors | Capoten (captopril)
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Dizziness, chronic, dry, nonproductive Cough, Salty or Metallic Taste, angioedema (laryngeal swelling) are the side effects of which drug? | : Capoten (captopril)
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When taking Capoten ___ levels of ____ may increase. | Serum ; digoxin
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ACE inhibitors like Capoten may cause ____ levels of ___. | May cause increased levels of potassium
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When taking Capoten ____ toxicity may be induced | lithium
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What are 5 drug examples for ACE inhibitors? | apoten captopril
Vasotec enalapril
Accupril quinapril
Altace ramipril
Prinivil, Zestril lisinopril
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Direct Vasodilators Cause ___mooth muscle relaxation, resulting in reduced peripheral vascular resistance & a decrease in blood pressure Some are particularly useful in the management of hypertensive emergencies | direct arteriolars;
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What are four example of drugs for direct vasodilators? | Nitropress, Nipride /nitroprusside sodium
Apresoline hydralazine hcl
Loniten minioxidil
Hyperstat diazoxide
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Orthostatic hypotension is a side effect for ___ | Direct vasodilators
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Calcium Channel Blockers (CCBs) inhibit the movement of ____across a cell membrane | calcium ions
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Calcium Channel Blockers cause ____& dilation of blood vessels (may cause constipation) | smooth muscle relaxation
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The Serum digoxin levels may increase when taking___ | calcium channel blockers
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The following are example of _____. Norvasc amiodipine Cardizem diltiazem Plendil felodipine Procardia nifedipine Calan verapamil | Calcium Channel Blockers (CCBs)
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Angiotensin Receptor Blockers ( ARBS) bing ____ at the _____ | angiotensin; receptors
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____ do not cause dry cough. | Angiotensin Receptor Blockers ( ARBS)
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ARBS may being working within ____ _week, but may take ___ to ___ weeks for full therapeutic effects | A week; 3-6 weeks
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The following are examples of _____ drugs. Atacand candesartan Cozaar losartan Avapro irbesartan | Angiotensin Receptor Blockers ( ARBS)
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The following are nursing considerations for __. Monitor BP and HR, & record Take orthostatic BP readings (lying, sitting & standing) Weigh daily, & record Change positions slowly (to prevent orthostatic hypotension) | Angiotensin Receptor Blockers ( ARBS)
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The following are nursing considerations for ____. Teach client about proper diet, weight loss, and exercise Avoid smoking & excessive alcohol Avoid hot environments Reduce stress as much as possible | Angiotensin Receptor Blockers ( ARBS)
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The following are nursing consideration for ___. Never stop taking medication without consult Antihypertensives may lead to depression Lifelong therapy is usually required | Angiotensin Receptor Blockers ( ARBS)
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