NUR 105 Cardiovascular

NUR 105 Cardiovascular

• What are the different classifications of drugs to treat hypertension?

Answer diuret- ics

adrenergic inhibitors direct vasodilators angiotensin inhibitors calcuim channel blockes b- blockers

• Relaxes the Smooth muscles

Answer Direct Vasodilators

• What are a few side effects that could occur from hypertension drugs?

Answer Or- thostatic hypotensin

sexual dysfunction dry mouth frequent urination

• What drug promotes sodium depletion which decreased extracellular flu- id?

Answer Diuretics

• What is the first line drug for treatment of mild hypertension in the diuretic classification?

Answer Hydrochlorothiazide

• What are the mechanisms of action for diuretic drugs?

Answer reduction of blood volume

reduction of arterial resistance 1 / 4

• What are the side effects from diuretics?

Answer hypokalemia dehydration hyperglycemia (hearing loss)

• What class of drug inhibits bsorption of Na and Cl from ascending loop of henle, causing

excretion of h2o, na, k, cl, mag, calcuim. It lowers BP by reducing volume and promoting vasodilation

Answer Loop diuretics

• Name a few loop diuretic drugs?

Answer lasix and bumex

• What are the goals for loop diuretics? These are usually the first line agent in clients with

renal failure.

Answer lower bp reduced edema

• What drug reduces cardiac output by diminishing the sympathetic nervous system response

there by decreasing basal sympathetic tone?

Answer beta blockers

• Name a few Beta Blocker drugs?

Answer metoprolol, Atenolol, Lopressor

• What are the actions of beta blockers? 2 / 4

Answer selective inhibitor of beta 1 adrenergic receptors; no effect on beta 2 receptors

• What are the goals of beta blockers?.These drugs may be less effective in treating black

clients and in the elderly

Answer decreases bp and heart rate

• What are the drugs that inhibit angiotension converting enzyme which in turns inhibits the

formation of angiotensin ll?

Answer Ace Inhibitors

• Name a few Ace inhibitors?

Answer Captoen-captopril vasotec- enalapril

• What are the actions of Ace inhibitors?

Answer inhibit the conversion of angiotension l to angiotension ll thereby preventing the release of renin

• What are the goals of Ace Inhibitors?

Answer reduced peripheral vascular resistance without changing c/o

• What are the side effects of Ace Inhibitors

Answer persistent cough first dose hypotension angioedema hyperkalemia 3 / 4

• What are the planning for hypertension

Answer

achieve and maintain bp goal understand, accept and implement the therapeutic plan

experience minimal or no unpleasant side effects of therapy be confident of ability to manage and cope with this conditon

• What are the patient and family teaching for hypertension?

Answer -nutritional therapy

-drug therapy -physical activity -home monitoring of bp -tobacco cessation

• What is the most common form of hypertension in individuals age over 50?

Answer isolated systolic hypertension (ISH)

• The lifetime risk of developing hypertension is approximately

for mid- dle-aged (55-65) and older (over 65) normotensive men an women

Answer 90

• Older adults are more likely to have hypertension

Answer white coat

• is a wide gap between the first korotkoff sound and subsequent beats

Answer auscultatory gap

• / 4