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Review all the important cardiac meds: classifications, indications, side effects,
adverse reactions, and nursing considerations. (88 cards)
1
Q
Indication:
Angiotensin-converting enzyme inhibitors
(ACE inhibitors)
ANSWERS:
Antihypertensive
to decrease blood pressure
to prevent myocardial infarction and cerebral vascular accident
2
Q
Generic names:
ACE inhibitors
ANSWERS:
benazepril, enalapril, lisinopril, ramipril
3
Q
Mechanism of action:
ACE inhibitors
,ANSWERS:
prevents conversion of angiotensin I to angiotensin II, a potent
vasoconstrictor
blood vessels enlarge and blood pressure decreases
4
Q
Most common side effects:
ACE inhibitors
ANSWERS:
hypotension and dizziness
hyperkalemia
dry cough
taste changes
5
Q
Nursing considerations:
ACE inhibitors: hypotension and dizziness
ANSWERS:
take blood pressure and hold if BP < 100/60
use caution when getting up due to orthostatic hypotension
6
Q
Nursing considerations:
ACE inhibitors: hyperkalemia
ANSWERS:
, 1. check potassium and hold if increased - normal potassium is 3.5 - 5
2. use caution with kidney failure clients - clients retain potassium
3. avoid salt substitutes - contains potassium
4. use caution with potassium-sparing diuretics - spironolactone: retains
potassium
7
Q
Nursing considerations:
ACE inhibitors: dry cough
ANSWERS:
May need to prescribe different med if cough is intolerable to client.
8
Q
Nursing considerations:
ACE inhibitors: taste changes
ANSWERS:
Advise client that the changes to diet may need to occur such as eating smaller
meals or drinking lemon juice between meals.
These changes can make eating foods more tolerable.
9
Q
Most common adverse reaction:
ACE inhibitors
(Immediate complication)
ANSWERS: