Chapters 38, 39

Question 1

What type of diuretic is spironolactone?

Answer 1

Potassium sparing

Question 2

Which diuretic can potentiate the action of lithium, and cause toxicity?

Answer 2

Thiazide

Question 3

A chronic cough is a side effect to watch for with which class of medications?

Answer 3

ACE inhibitors

Question 4

Your patient has asthma and also has high BP. They are going to start on an antihypertensive medication. Which medication would be contraindicated to give them?

Answer 4

Metoprolol - it is a beta blocker, and can cause bronchoconstriction

Question 5

Your patient is going home on Lasix, when should you tell them to take this medication?

Answer 5

Firs thing in the morning - do not take in the latter part of the day.

Question 6

“Olol” refers to what class of medications?

Answer 6

Beta blockers

Question 7

Can thiazide diuretics be used in patients with abnormal renal function?

Answer 7

No - only used in patients with normal renal function.

Question 8

Which diuretic can be used for both glaucoma and adjuvant therapy for seizures.

Answer 8

Diamox

Question 9

Which drug are you most concerned about reflex tachycardia?

Answer 9

Hydralazine (Apresoline)

Question 10

In addition to controlling BP, what else will metoprolol lower?

Answer 10

Heart rate due to beta blockade

Question 11

If your patient’s BP reads 143/86, what is your next action?

Answer 11

Look at their trends - are they normally high? Were there any precipitating factors to elevating their BP?

Question 12

“Prils” refer to which class of medications?

Answer 12

ACE Inhibitors

Question 13

Which diuretic has a major interaction with digoxin?

Answer 13

Lasix - hypokalemia potentiates action of dig and increases risk for toxicity

Question 14

Name foods high in potassium

Answer 14

Bananas, oranges, fish, potatoes, green leafy veggies

Question 15

The first line of drug class of choice for mild hypertension:

Answer 15

Diuretics

Question 16

Which drug causes “first dose syncope”

Answer 16

Prazosin

Question 17

What is one side effect of hydralazine that needs to be monitored closely?

Answer 17

Tachycardia

Question 18

“Pine” refers to which class of medications?

Answer 18

CACB - calcium channel blockers

Question 19

What electrolyte are you most concerned about before administering Lasix?

Answer 19

Potassium - do not want to give if hypokalemic

Question 20

With which diuretic do you need to watch one’s blood sugar?

Answer 20

Hydrochlorothiazide

Question 21

This class of medications work by promoting vasodilation, and blocks calcium in vascular smooth muscle

Answer 21

Calcium channel blockers

Question 22

Which class of medications are considered renal protective and do not affect HR or CO?

Answer 22

ACE inhibitors

Question 23

This classification of hypertension is due to renal and endocrine disorders.

Answer 23

Secondary hypertension

Question 24

“Sartan” refers to which class of medications?

Answer 24

Angiotensin II receptor blocker (ARBS)

Question 25

Which diuretic would you give to reduce intracranial pressure?

Answer 25

Mannitol

Question 26

Which two medications are a sulfa derivative?

Answer 26

Furosemide and hydrochlorothiazide

Question 27

Which drug do you not want to administer with a potassium sparing diuretic as it also causes hyperkalemia?

Answer 27

ACE inhibitors

Question 28

Which hormone works to regulate water by stimulating the kidneys?

Answer 28

ADH - anti-diuretic hormone

Question 29

The guideline for normal blood pressure is less than:

Answer 29

120/80

Question 30

What type of drug is Captopril

Answer 30

ACE inhibitor