Angiotensin II Receptor Blockers

Question 1

mechanism of action

Answer 1

block the binding of angiotensin II from receptors

Question 2

therapeutic effects

Answer 2

⬇BP by ⬇constriction which ⬇resistance which

⬇after load

-renal vascular protective effects

Question 3

indications/uses

Answer 3

• hypertension (HTN)
• after load reduction for patients with CHF and MI
• renal protection in diabetic patients regardless of bp

Question 4

precautions

Answer 4

⬆hypotensive effects when taking multiple bp affecting drugs

-impairs renal function

Question 5

contraindications (do not give)

Answer 5

• patients with hyperkalemia

- children, pregnant or lactating women

Question 6

side effects/adverse effects

Answer 6

Angioedema, hyperkalemia, cough, fatigue, dizziness

headache, upper respiratory infection, sinusitis, muscle weakness/cramps

Question 7

nursing Actions

Answer 7

check bp, I and O, daily weight, side effects

Question 8

drugs in class

Answer 8

olmesartan

losartan

Question 9

lab work

Answer 9

serum k+levels, renal function

Question 10

physical assessment

Answer 10

focus on cardiac and pulmonary

Question 11

patient education

Answer 11

side effects, other drug interactions, hypotension symptoms, labs, drug