Angiotensin II Receptor Blockers/Madelyn Flashcards
What is the primary action of Angiotensin II Receptor Blockers (ARBs)?
To block the effects of angiotensin II, leading to vasodilation and decreased blood pressure.
True or False: ARBs are used to treat hypertension.
True
Name one common Angiotensin II Receptor Blocker.
Losartan
What class of medications do ARBs belong to?
Antihypertensives
Fill in the blank: ARBs help to prevent the release of __________ from the adrenal glands.
aldosterone
What are some common adverse reactions of ARBs?
Dizziness, hyperkalemia, renal impairment.
Which patient population should use ARBs with caution due to potential renal effects?
Patients with renal artery stenosis.
True or False: ARBs can be used in pregnancy.
False
What should be monitored regularly in patients taking ARBs?
Blood pressure and renal function.
What is a key nursing implication when administering ARBs?
Assess for signs of hypotension.
Multiple Choice: Which of the following is NOT an ARB? A) Valsartan B) Metoprolol C) Irbesartan
B) Metoprolol
Fill in the blank: ARBs are often prescribed to patients with __________ heart failure.
congestive
What lifestyle modification should be encouraged for patients on ARBs?
Adopting a low-sodium diet.
True or False: ARBs can cause a persistent cough.
False
What is the mechanism of action of ARBs?
They block angiotensin II from binding to its receptors.
What should patients be taught about the risk of hyperkalemia while taking ARBs?
They should avoid potassium-rich foods and potassium supplements.
What is the effect of ARBs on blood vessels?
They cause vasodilation.
True or False: ARBs are effective in reducing the risk of stroke.
True
What is a potential interaction to be aware of when administering ARBs?
Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce their effectiveness.
What is the initial nursing action if a patient experiences significant hypotension on ARBs?
Place the patient in a supine position and notify the healthcare provider.
Fill in the blank: ARBs can be used in combination with __________ diuretics.
thiazide
What should be documented when a patient is started on an ARB?
Baseline blood pressure and renal function.
True or False: ARBs have been shown to improve outcomes in diabetic nephropathy.
True
What is a common dosing consideration for ARBs?
They are usually taken once daily.
What should patients be advised regarding the sudden discontinuation of ARBs?
They should not stop taking the medication abruptly without consulting a healthcare provider.
Fill in the blank: The primary therapeutic use of ARBs is __________ control.
blood pressure
What is the major difference between ARB and an ACE medication?
1. ARBS block the actions of angiotensin II and ACE inhibitors block the formation of angiotensin II
2. There is no difference
3. ARBS cause hyperkalemia
1.
Which is the only ACE inhibitor for IV use?
Enalaprilat