Pharm quiz 1 - Antihypertensives/Diuretics Flashcards

1
Q

What type of medication is Spironolactone (Aldactone)

A

K sparing diuretic, Aldosterone receptor antagonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What type of medication is Furosemide (Lasix)

A

Antihypertensive, loop diuretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What type of medication is Hydrochlorothiazide?

A

Antihypertensive, thiazide diuretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of medication is Metoprolol?

A

Beta blocker, antihypertensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What type of medication is Amlodipine (Norvasc)

A

Antihypertensive, Ca channel blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of medication is Diltiazem (Cardizem)

A

Antihypertensive, Ca channel blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of medication is Lisinopril?

A

Antihypertensive, angiotensin converting ACE inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of medication is Losartan?

A

Antihypertensive, angiotensin II receptor blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Spironolactone MOA

A

antagonizes aldosterone in the distal tubules, increasing sodium and water excretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Furosemide MOA

A

Inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of Henle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hydrochlorothiazide MOA

A

Hydrochlorothiazide inhibits sodium reabsorption in the distal tubules, causing increased excretion of sodium, water, and chloride as well as potassium and hydrogen ions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Metoprolol MOA

A

A selective beta blocker that selectively blocks beta1 receptors; decreases cardiac output, peripheral resistance, and cardiac oxygen consumption; and depresses renin secretion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Amlodipine MOA

A

Stops calcium from entering the cells of the heart and blood vessels. This relaxes the blood vessels and lowers blood pressure, increasing supply of blood and oxygen to the heart while reducing its workload.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diltiazem MOA

A

Inhibits calcium ion influx across cardiac and smooth-muscle cells, decreasing myocardial contractility and oxygen demand. Drug also dilates coronary arteries and arterioles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lisinopril MOA

A

Lisinopril inhibits ACE, leading to decreased angiotensin II production, decreased aldosterone secretion, and increased potassium level.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Losartan MOA

A

Inhibits vasoconstrictive and aldosterone-secreting action of angiotensin II by blocking angiotensin II receptor on the surface of vascular smooth muscle and other tissue cells.

17
Q

Losartan nursing interventions

A
  • monitor blood pressure
  • monitor renal function
  • monitor potassium
  • assess HR and fluid levels
18
Q

Lisinopril nursing interventions

A
  • monitor serum K, BUN, CR
  • monitor BP
  • cough, angioedema
  • monitor glucose if diabetic
  • avoid Na subs
19
Q

Diltiazem nursing interventions

A
  • monitor BP and HR
  • auscultate heart sounds
  • don’t give grapefruit juice
  • assess for edema (hidden)
20
Q

Amlodipine nursing interventions

A
  • monitor HR and BP
  • assess for signs of HF
21
Q

Metoprolol nursing interventions

A
  • monitor HR and BP
  • monitor glucose if diabetic
  • do not give if asthma or COPD
22
Q

Hydrochlorothiazide nursing interventions

A
  • monitor BP
  • monitor for hypo of all electrolytes
  • monitor for decreased visual acuity
23
Q

Furosemide nursing interventions

A
  • monitor BP and HR
  • monitor for hypo of all electrolytes
  • fluid intake & output
24
Q

Spironolactone nursing interventions

A
  • monitor electrolytes (increases K, decreases the others)
  • monitor renal function & for hyper K
  • monitor BP
  • avoid Na subs