Kidney Drugs
This ____ GFR reading is considered kidney disease while this ____ GFR reading is considered kidney failure.
What is 60 and 15?
This is released by the kidney as part of the RAAS system.
What is renin?
This is afterload.
The pressure the heart has to overcome to eject blood from the heart.
This is chest pain due to coronary artery spasms.
What is variant or prinzmetal's angina?
The nurse is caring for a client with heart failure who is prescribed digoxin. Which of the following assessments is most important for the nurse to perform prior to administering this medication?
A. Monitor blood glucose levels
B. Check client's pulse for one minute
C. Assess for peripheral edema
D. Measure the client’s respiratory rate
B
This is the most commonly used diuretic for HTN.
What is HCTZ?
This food/herbal treatment should be avoided with ARB medications.
What is grapefruit juice?
This is what the ACE does when released from the lungs.
What is convert Angiotensin I to Angiotensin II?
This medication should be stored in the dark container it comes in.
What is nitroglycerin?
The nurse will monitor the client on which of the following medications for hypokalemia? (Select all that apply)
A. Furosemide (Lasix)
B. Spironolactone (Aldactone)
C. Hydralazine (Apresolin)
D. Hydrochlorothiazide (Microzide)
E. Lisinopril (Zestril)
F. Mannitol (Osmitrol)
A, D, F
This diuretic is commonly used for cerebral edema.
What is mannitol?
This medication class works outside the RAAS to decrease HTN by limiting muscular contractions of the arteries.
What are Calcium Channel Blockers?
This is preload.
The volume of blood being returned to the heart at the end of diastole.
This medication is first line for dissolving blood clots in the heart.
What is alteplase?
The nurse is assessing a client with heart failure. Which of the following signs and symptoms are associated with right-sided heart failure? (Select all that apply.)
A. Peripheral edema
B. Jugular vein distention
C. Pulmonary congestion
D. Ascites
E. Orthopnea
F. Hepatomegaly
A, B, D, F
This diuretic medication would be contraindicated in a patient with hyperkalemia.
What is spironolactone (potassium sparing diuretic)?
This is the prototype drug for direct acting vasodilators.
What is hydralazine?
This is the primary benefit of digoxin.
What is increasing the contractility or strength of the heart's contractions.
This beta blocker drug is cardioselective and is commonly used to treat angina.
What is atenolol?
The nurse is educating a client who was recently prescribed lisinopril. Which of the following are possible side effects that the nurse should include in the teaching? (Select all that apply)
A. Increased risk of hyperlipidemia
B. Persistent dry cough
C. Angioedema
D. Elevated blood sugar levels
B, C
These are 3 nursing considerations prior to giving furosemide.
What is check potassium levels, pregnancy testing in females, ensure patient does not have any heart dysrhythmias? (Also severe dehydration, hypotension, other electrolyte imbalances)
These are the two effects Angiotensin II has on the RAAS System.
What is vasoconstriction and stimulation of release of aldosterone?
These are two contraindications for using beta 1 adrenergic blockers.
What is asthma and bradycardia. (Also heart block, cardiogenic shock and/or hypotension)
These are the steps that should be taught to a patient on how to take prescribed sublingual nitroglycerin for chest pain.
What is take medication when chest pain occurs, if no relief after 5 minutes call EMS, then take a second dose, take a third dose if chest pain continues for 5 more minutes. Do not take more than 3 doses. If chest pain continues after 3 doses go to hospital or follow EMS instructions.
A nurse is caring for a patient receiving furosemide for fluid overload associated with congestive heart failure. Which of the following are essential nursing interventions when administering furosemide? (Select all that apply.)
A. Monitor electrolyte levels, especially potassium, to prevent hypokalemia.
B. Assess for signs of dehydration, such as dry mouth, low urine output, and increased thirst.
C. Limit fluid intake to prevent dehydration caused by diuresis.
D. Check blood pressure before administration, as furosemide can cause hypotension.
E. Advise the patient to avoid all foods high in potassium to prevent hyperkalemia.
F. Measure daily weight to assess fluid status and effectiveness of the medication.
A, B, D, F