NUR306 COMPLETE PHARM QUIZ 6
BASED WITH QUESTIONS AND
ANSWERS
Hypertension Management
(Nonpharmacologic) - ANS-✅🔹Weight loss
🔹Stress reduction (meditation, yoga...)
🔹Exercise
🔹Dietary changes (⬇︎sodium)
🔹Smoking cessation 🚭
ACE Inhibitors Action
(Angiotensin-Converting Enzymes) - ANS-✅⬇︎Peripheral Vascular resistance *WITHOUT:*
🚫•⬆︎Cardiac Output
🚫•⬆︎Cardiac Rate
🚫•⬆︎Cardiac Contractility
Action of
Calcium Channel Blockers - ANS-✅🔻Action→Blocks Calcium Access to Cells
🔹These Drugs ...
∙⬇︎Relax blood vessels
∙⬆︎Increase supply of Oxygen to ❤️
Heart
∙⬇︎Decrease Heart's❤️ workload
__________________
🌟Lower blood pressure
Antihypertensive & Vasodilating Drugs
Adverse Reactions - ANS-✅❗️ Orthostatic Hypotension/Dizziness
•A significant ↓drop in blood pressure when assuming an upright position
🌟*Risk of hip fracture increased by 50% for ppl older than 66 when they started antihypertensives*
👵👴
🌟*Instruct patient to rise slowly from a sitting or lying position*
❗️
Severe headaches
, Ongoing Assessment for Antihypertensives - ANS-✅•Each time blood pressure is measured use
*same arm* with the patient in the *same position*
🌟*DO NOT CROSS LEGS*
Menopause & Antihypertensives - ANS-✅🌟Teach hypertensive women who are entering menopause
that pregnancy can still occur.
• During the start of menopause ovulation & periods are irregular
•Women are reluctant to use birth control as they age, they don't think they can get pregnant
🚫ACEIs & angiotensin can cause injury and death to developing fetus❗️
Antihypertensive Risk for Injury❗️ - ANS-✅❗️ Orthostatic hypotension/Dizziness/Weakness
🌟*Instruct patient to rise slowly from a sitting or lying position*
🔹To minimize symptoms
✅Place items close to bed @night
✅Sit on bed for 1 to 2 minutes
✅Rise slowly & stand for 1 to 2 minutes
✅Change position slowly
Angina - ANS-✅Atherosclerotic plaque forms in the *Coronary Arteries*, which causes ↓decreased
oxygen supply to heart❤️
Results in chest pain or pressure
Antianginal Actions - ANS-✅🌟*Nitrates* relax smooth muscle layer of blood vessels
⬆️
increase luman of artery muscle
⬆️
increase amount blood flow through vessels
Increased blood flow= Increased oxygen supply to tissues
🌟Calcium Channel Blockers effects on the Heart - ANS-✅⬇️ Slow conduction velocity of cardiac
impulse
Dilate coronary arteries to deliver more oxygen to cardiac muscle
🔺Dialation of peripheral arteries ⬇️
reduces workload of the Heart❤️
Nitroglycerin - ANS-✅🌟Instruct patient to call 991 *IF* chest pain doesn't respond to *3 doses of nitro
given every 5 min for 15 min*❗️
Antianginal Interactions - ANS-✅🌟Erectile Dysfunction drugs can cause ...
❗️
Severe Hypotension
❗️ Cardiovascular Collapse
Antianginal Patient Teaching - ANS-✅✅*Headaches* are an adverse reaction vasodilation drugs
✅Do *NOT* use erectile dysfunction while taking nitrates🌟
✅Do *NOT* drive because drugs can cause dizziness or drowsiness🌟
DVT (Deep Vein Thrombosis)
How/What to assess? - ANS-✅•Swelling ➡️
Measure Circum
•Homans+
BASED WITH QUESTIONS AND
ANSWERS
Hypertension Management
(Nonpharmacologic) - ANS-✅🔹Weight loss
🔹Stress reduction (meditation, yoga...)
🔹Exercise
🔹Dietary changes (⬇︎sodium)
🔹Smoking cessation 🚭
ACE Inhibitors Action
(Angiotensin-Converting Enzymes) - ANS-✅⬇︎Peripheral Vascular resistance *WITHOUT:*
🚫•⬆︎Cardiac Output
🚫•⬆︎Cardiac Rate
🚫•⬆︎Cardiac Contractility
Action of
Calcium Channel Blockers - ANS-✅🔻Action→Blocks Calcium Access to Cells
🔹These Drugs ...
∙⬇︎Relax blood vessels
∙⬆︎Increase supply of Oxygen to ❤️
Heart
∙⬇︎Decrease Heart's❤️ workload
__________________
🌟Lower blood pressure
Antihypertensive & Vasodilating Drugs
Adverse Reactions - ANS-✅❗️ Orthostatic Hypotension/Dizziness
•A significant ↓drop in blood pressure when assuming an upright position
🌟*Risk of hip fracture increased by 50% for ppl older than 66 when they started antihypertensives*
👵👴
🌟*Instruct patient to rise slowly from a sitting or lying position*
❗️
Severe headaches
, Ongoing Assessment for Antihypertensives - ANS-✅•Each time blood pressure is measured use
*same arm* with the patient in the *same position*
🌟*DO NOT CROSS LEGS*
Menopause & Antihypertensives - ANS-✅🌟Teach hypertensive women who are entering menopause
that pregnancy can still occur.
• During the start of menopause ovulation & periods are irregular
•Women are reluctant to use birth control as they age, they don't think they can get pregnant
🚫ACEIs & angiotensin can cause injury and death to developing fetus❗️
Antihypertensive Risk for Injury❗️ - ANS-✅❗️ Orthostatic hypotension/Dizziness/Weakness
🌟*Instruct patient to rise slowly from a sitting or lying position*
🔹To minimize symptoms
✅Place items close to bed @night
✅Sit on bed for 1 to 2 minutes
✅Rise slowly & stand for 1 to 2 minutes
✅Change position slowly
Angina - ANS-✅Atherosclerotic plaque forms in the *Coronary Arteries*, which causes ↓decreased
oxygen supply to heart❤️
Results in chest pain or pressure
Antianginal Actions - ANS-✅🌟*Nitrates* relax smooth muscle layer of blood vessels
⬆️
increase luman of artery muscle
⬆️
increase amount blood flow through vessels
Increased blood flow= Increased oxygen supply to tissues
🌟Calcium Channel Blockers effects on the Heart - ANS-✅⬇️ Slow conduction velocity of cardiac
impulse
Dilate coronary arteries to deliver more oxygen to cardiac muscle
🔺Dialation of peripheral arteries ⬇️
reduces workload of the Heart❤️
Nitroglycerin - ANS-✅🌟Instruct patient to call 991 *IF* chest pain doesn't respond to *3 doses of nitro
given every 5 min for 15 min*❗️
Antianginal Interactions - ANS-✅🌟Erectile Dysfunction drugs can cause ...
❗️
Severe Hypotension
❗️ Cardiovascular Collapse
Antianginal Patient Teaching - ANS-✅✅*Headaches* are an adverse reaction vasodilation drugs
✅Do *NOT* use erectile dysfunction while taking nitrates🌟
✅Do *NOT* drive because drugs can cause dizziness or drowsiness🌟
DVT (Deep Vein Thrombosis)
How/What to assess? - ANS-✅•Swelling ➡️
Measure Circum
•Homans+
