ACE INHIBITORS Flashcards
What does ACE stand for in ACE inhibitors?
Angiotensin-Converting Enzyme
What is the primary action of ACE inhibitors?
To inhibit the conversion of angiotensin I to angiotensin II, leading to vasodilation.
True or False: ACE inhibitors are used to treat hypertension.
True
What is a common adverse reaction to ACE inhibitors?
Cough
Fill in the blank: ACE inhibitors can cause __________ as a serious adverse effect.
Angioedema
What is a key nursing implication when administering ACE inhibitors?
Monitor blood pressure regularly.
Which administration route is commonly used for ACE inhibitors?
Oral
Name one example of an ACE inhibitor.
Lisinopril
What effect do ACE inhibitors have on heart failure?
They improve symptoms and reduce mortality.
True or False: ACE inhibitors can cause renal impairment.
True
What should be monitored in patients taking ACE inhibitors?
Kidney function and serum potassium levels.
What is the mechanism of action of ACE inhibitors?
They block the enzyme that converts angiotensin I to angiotensin II.
Multiple Choice: Which of the following is NOT an ACE inhibitor? A) Enalapril B) Ramipril C) Amlodipine
C) Amlodipine
True or False: ACE inhibitors are contraindicated in pregnancy.
True
What should patients be advised regarding the use of potassium supplements while on ACE inhibitors?
They should avoid potassium supplements unless directed by a healthcare provider.
Fill in the blank: ACE inhibitors may cause __________ in some patients, leading to a cessation of therapy.
Persistent dry cough
What is a common initial dose adjustment consideration for elderly patients taking ACE inhibitors?
Start with a lower dose due to increased sensitivity.
Name two common ACE inhibitors.
Lisinopril and Enalapril
True or False: ACE inhibitors have no effect on the cardiovascular system.
False
What is a potential drug interaction with ACE inhibitors?
Diuretics may enhance the hypotensive effect.
What laboratory test is essential before starting an ACE inhibitor?
Baseline serum creatinine and potassium levels.
Fill in the blank: The therapeutic effect of ACE inhibitors includes __________ of blood pressure.
Reduction
What patient education should be provided regarding the side effects of ACE inhibitors?
Inform them about the possibility of cough and angioedema.
True or False: ACE inhibitors can be used to protect kidney function in diabetic patients.
True
What is the effect of ACE inhibitors on afterload and preload?
They decrease afterload and preload.
What are a few therapeutic uses for an ACE ? Name 3
Hypertension, Heart failure, MI (to decrease mortality and to decrease the risk of heart failure and left ventricular dysfunction
ACE Inhibitors end in il True or False
True
ACE Rx’s can increase levels of lithium True or False
True-(monitor lithium levels to avoid toxicity)
Yes or No- The use of NSAIDs can decrease the antihypertensive effect of ACE inhibitors
Yes, so avoid concurrent use
True or False-Potassium supplements and potassium sparing diuretics increase the risk of hyperkalemia
True
Take captopril and moexipril at lease 1 hour before meals. Other ACE inhibitors can be taken with or without food. True or False
True