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NR 667 CHAMBERLAIN CEA WEEK 8 EXIT EXAM
,Blood Flow
Lungs ® Pulmonary Veins ® Left Atrium ® Aorta ® Body Tissues ® Vena Cava ® Right Atrium ® Right
Ventricle ® Pulmonary Arteries ® Lungs
Symptoms with right vs left side heart blockage
· Blockage on the left side of the heart backs up and causes lung symptoms
· Blockage on the right side of the heart backs up and causes body symptoms (peripheral edema)
HNC8 HTN Guidelines
Defined as 140/90
Treatment algorithm:
Less than 60 years old - 140/90
NR 667 CHAMBERLAIN CEA WEEK 8 EXIT EXAM
,> 60 years old - Defined as 150/90 (more leniency b/c we do not want to drop their BP too low)
What hypertension medication should someone with DM and/or CKD be on? ACE
or ARB (protects kidneys)
What HTN medication should an African American pt be on?
CCB
What HTN medications should be used in patients with heart failure?
Carvediolol and Thiazide diuretics
Common side effects from ACE inhibitors cough,
angioedema
What HTN medication is contraindicated if an ACE inhibitor caused angioedema?
ARB
What HTN medication should a heart failure pt NEVER be on?
CCB
(These cause the heart to "relax" which is not good in HF pts)
NR 667 CHAMBERLAIN CEA WEEK 8 EXIT EXAM
, 2 types of CCBs
Dihydropyridines & Non-dihydropyridines
What are dihydropyridine CCBs used for?
BP control
Example of a dihydropyridine CCB and side effects
Amlodipine
Bradycardic side effects, peripheral edema, constipation
What are non-dihydropyridine CCBs used for?
arrhythmias
Example of a non-dihydropyridine CCB and side effects cardizem
Tachycardic side effects/palpitations - these meds were peripherally and have a rebound tachycardia
The atria (top chambers of the heart) work on which electrolytes?
K+ (potassium) and Ca (calcium)
The ventricles (bottom chambers of the heart) work on which electrolytes?
Na (sodium) and K+ (potassium)
NR 667 CHAMBERLAIN CEA WEEK 8 EXIT EXAM