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Pharm Quiz 4 - Cardiac Verified and
Updated Questions and Answers (100%
Correct Answers)
What are the 4 classes that may be considered first for hypertension in a
nonpregnant adult?
Answer: Thiazide diuretics, ARBs, ACE, CCB
Can you use ACE and ARB together?
Answer: no
Two kinds of ARBS
Answer: dihydropyridines and nondihydropyridines
If you stop a beta blocker without a taper it can cause
Answer: an acute MI
Which antihypertensives were noted as needing monitoring of potassium due to
potential hypokalemia or hyperkalemia?
Answer: Hyperkalemia: ACE, ARB, potassium-sparing diuretics
Hypokalemia: Thiazides
Which antihypertensives are particularly monitored for effects on heart rate?
Answer: Beta blockers
Which antihypertensive class is particularly known for the potential adverse effect of
cough and what other medication could they switch to avoid the cough?
Answer: ACE's can cause cough, and you would switch to an ARB
Which drugs might be used to treat hypertension during pregnancy? Which were
mentioned as being teratogenic?
Answer: ACE's and ARB's are teratogenic, can use diuretics, CCBs, or beta blockers
Adverse effects of ACE inhibitors:
Answer: Cannot use in pregnancy (teratogenic), photosensitivity, Hx angioedema,
renal function decline, acute renal failure (higher risk if preexisting renal issues or If
they are vomiting/having diarrhea)
Adverse effects of ARBs:
Answer: fetal toxicity, hypotension, hyperkalemia, changes in renal function
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Adverse effects of Thiazide diuretics:
Answer: hypokalemia, hypotension, hyponatremia, hyperuricemia, hyperlipidemia,
Adverse effects of Calcium channel blockers:
Answer: - Dihydropyridines: peripheral edema, lightheadedness, flushing
- Non-Dihydropyridines: constipation, bradycardia, worsening cardiac output, AV
block, hepatotoxicity
Adverse effects of Beta-blockers:
Answer: bradycardia, hypotension, increased glucose, depression, fatigue, sexual
dysfunction, alteration in lipids
- Avoid in bronchospastic disease, bradycardia, AV block, decompensated HF, use
caution in DM
Adverse effects of Alpha-blockers:
Answer: orthostatic hypotension, dry mouth, fatigue, dizziness, somnolence, use
caution in the elderly (on BEERS list)
Adverse effects of Clonidine:
Answer: drowsiness, fatigue, hypotension, bradycardia, dizziness, headache
Losartan (Cozaar)
Answer: Most common ARB
Vasodilator
Doesn't affect AV node
Amlodipine (Norvasc)
Answer: CCB - dihydropyridine type
Verapamil (Calan)
Answer: CCB - dihydropyridine type
Not as commonly used as Amlodipine
Can be used for rate control and A Fib (unlike Amlodipine)
Affects conduction through AV node
Pharm Quiz 4 - Cardiac Verified and
Updated Questions and Answers (100%
Correct Answers)
What are the 4 classes that may be considered first for hypertension in a
nonpregnant adult?
Answer: Thiazide diuretics, ARBs, ACE, CCB
Can you use ACE and ARB together?
Answer: no
Two kinds of ARBS
Answer: dihydropyridines and nondihydropyridines
If you stop a beta blocker without a taper it can cause
Answer: an acute MI
Which antihypertensives were noted as needing monitoring of potassium due to
potential hypokalemia or hyperkalemia?
Answer: Hyperkalemia: ACE, ARB, potassium-sparing diuretics
Hypokalemia: Thiazides
Which antihypertensives are particularly monitored for effects on heart rate?
Answer: Beta blockers
Which antihypertensive class is particularly known for the potential adverse effect of
cough and what other medication could they switch to avoid the cough?
Answer: ACE's can cause cough, and you would switch to an ARB
Which drugs might be used to treat hypertension during pregnancy? Which were
mentioned as being teratogenic?
Answer: ACE's and ARB's are teratogenic, can use diuretics, CCBs, or beta blockers
Adverse effects of ACE inhibitors:
Answer: Cannot use in pregnancy (teratogenic), photosensitivity, Hx angioedema,
renal function decline, acute renal failure (higher risk if preexisting renal issues or If
they are vomiting/having diarrhea)
Adverse effects of ARBs:
Answer: fetal toxicity, hypotension, hyperkalemia, changes in renal function
, Inquire through: | Professional | Confidential Support
Adverse effects of Thiazide diuretics:
Answer: hypokalemia, hypotension, hyponatremia, hyperuricemia, hyperlipidemia,
Adverse effects of Calcium channel blockers:
Answer: - Dihydropyridines: peripheral edema, lightheadedness, flushing
- Non-Dihydropyridines: constipation, bradycardia, worsening cardiac output, AV
block, hepatotoxicity
Adverse effects of Beta-blockers:
Answer: bradycardia, hypotension, increased glucose, depression, fatigue, sexual
dysfunction, alteration in lipids
- Avoid in bronchospastic disease, bradycardia, AV block, decompensated HF, use
caution in DM
Adverse effects of Alpha-blockers:
Answer: orthostatic hypotension, dry mouth, fatigue, dizziness, somnolence, use
caution in the elderly (on BEERS list)
Adverse effects of Clonidine:
Answer: drowsiness, fatigue, hypotension, bradycardia, dizziness, headache
Losartan (Cozaar)
Answer: Most common ARB
Vasodilator
Doesn't affect AV node
Amlodipine (Norvasc)
Answer: CCB - dihydropyridine type
Verapamil (Calan)
Answer: CCB - dihydropyridine type
Not as commonly used as Amlodipine
Can be used for rate control and A Fib (unlike Amlodipine)
Affects conduction through AV node
