Name That Suffix
The common suffix for Ace inhibitors like Linsinopril
-pril
The drug class that lowers blood pressure by blocking beta-1 receptors and decreasing the body's response to epinephrine.
Beta Blockers
A patient on ACE inhibitor develops rapid, life-threatening swelling of the lips, . What is the drug?tongue, and throat
Angioedema
Before administering beta blockers, the nurse must hold the dose and notify the provider if the patient's resting heart rate is below what threshold?
60 bpm
Patients taking calcium channel blockers (-pine, -amil) or Statins (-statin) must be taught to strictly avoid consuming this fruit/juice?
Grapefruit/Grapefruit Juice
The common suffix for beta blockers like metoprolol is
-olol or -lol
The class that prevents the conversion of Angiotensin I to Angiotensin II to promote vasodilation?
ACE Inhibitors
A patient taking Atorvastatin reports unexplained muscle pain and tea colored urine indicated what?
Rhabdomyolysis/Myopathy
When caring for a patient receiving a thrombolytic agent (-teplase), the nurse's primary safety assessment is monitoring for signs of what?
Bleeding (internal/external)
What should the nurse instruct a patient to do to avoid dizzy spells or fainting caused antihypertensives?
Change positions slowly (from lying, to sitting/standing)
The suffix -sartan belongs to what class of blood pressure medications?
Angiotensin II Receptor Blockers (ARBs)
What medications increase urine output by inhibiting sodium and chloride reabsorption in the Loop of Henle?
Loop Diuretics
Why are non-selective Beta-Blockers strictly contraindicated in patient's with severe asthma or COPD?
The will be at risk for triggering severe Bronchospasms (blocking beta-2-receptors in the lungs)
Statins should not be administered to patients with a history of disease in which organ?
Liver (Hepatotoxicity/Active Liver Disease)
To prevent nocturnal awakening and disruption of sleep, when should the nurse instruct a patient to take their daily diuretic?
In the morning
The suffix -statin is used for cholestorol-lowering drugs that inhibit which liver enzyme?
HMG-CoA reductase
Calcium Channel Blockers lower blood pressure by preventing calcium movement across what tissue membrane?
Myocardial and Vascular Smooth Muscle Membranes
A patient taking Furosemide (Lasix) is at high risk for which major electrolyte imbalance that can cause cardiac dysrhythmias?
HypoKalemia (low potassium)
Before and during potassium sparing diuretic therapy (-actone), which blood lab value must the nurse closely evaluate?
Serum Potassium (K+ levels)
A patient starting Lisinopril should be educated that this common, non-harmful side effect is caused by a buildup of bradycardia?
Dry Cough
The suffix -teplase or -ase indicate which high risk category of clot-dissolving medications?
Thrombolytics
Thrombolytic drugs dissolve clots by converting plasminogen into this clot-cleaving enzyme?
Plasmin
Patients on Beta-Blockers who have diabetes must be closly monitored because the medication masks signs of low blood sugars, except for this remaining symptom?
Diaphoresis (sweating)
In addition to blood pressure and heart rate, what daily assessment is most reliable for monitoring fluid loss or retention in a patient taking diuretics?
Daily Weight
What key dietary instruction regarding salt substitutes should be given to a patient taking Spironolactone or an ACE inhibitor?
Avoid salt substitutes containing potassium (to prevent hypoKalemia)