Other Routes
Which route would be the first pass metabolism which can reduce drugs effectiveness?
Oral Route
What is the medication classification of Lisinopril?
A nurse is reviewing the medication list of a patient who is taking aspirin for pain relief. Which of the following patient statements indicates a need for further teaching?
A. "I take my aspirin with food to avoid stomach upset."
B. "I can take ibuprofen for additional pain relief if needed."
C. "I will notify my healthcare provider if I experience any unusual bruising or bleeding."
D. "I understand that aspirin can help reduce the risk of heart attack and stroke"
B. "I can take ibuprofen for additional pain relief if needed."
What are the therapeutic and pharmacologic classes of metoprolol, bisoprolol, atenolol, and carvedilol?
Beta-Blockers
What is the medication classification of Losartan?
Angiotensin Receptor Blocker (ARB)
Which routes bypass digestive system and liver, leading to faster absorption? (SELECT ALL THAT APPLY)
A. Intravaneous
B. Sublingual
C. Buccual
D. Intramusucular
E. Inhalation
B. Sublingual
C. Buccual
A patient with a history of hypertention and diabetes mellitus is prescribed lisinopril. The nurse should monitor the patient for which side effects?
A. peresistant cough
B. Hypotention
C. Hyperkalemia
D. All of the above
All of the above
A patient with a history of cardiovascular disease is prescribed aspirin 81 mg daily. The nurse should educate the patient about which of the following potential adverse effects associated with long-term aspirin use?
A. Gastrointestinal bleeding
B. Tinnitus
C. Thrombocytopenia
D. All of the above
D. All of the above
Metoprolol is used for the treatment of (blank)?
Hypertension
Losartan focuses on (blank), an aspect of the cardiac process, to address the pathophysiology of a heart failure?
Lowering the blood pressure
When educating a patient about the different route of medication administration, the nurse explains the which route offer the fastest absorption?
Intravenous Route
What should the nurse monitor while taking lisinopril and what should they avoid?
When is Aspirin contraindicated?
allergy, active peptic ulcer disease bleeding disorders like hemophilia during the 3rd trimester of pregnancy
Which is the highest priority potential nursing diagnosis for a client who is starting on metoprolol?
The highest priority of the nurse would be to monitor for any signs of decreased cardiac output.
Which nursing interventions she a nurse specifically perform for a client prescribed Losartan?
Regularly assess laboratory results including serum, potassium and renal function. Monitor blood pressure
What are the two disavantage of subcutaneous injection?
Smaller volumes
Slower absorption
Local irritation
What is the mechanism of action for angiotensin converting enzyme (ACE) inhibitor such as lisinopril?
Works by inhibiting the enzyme that converts angiotensin I to angiotensin II. By blocking the formation of angiotensin II, ACE inhibitors reduce vasocontraction and fluid retention, there by lowering the blood pressure
What is the medication of the action for the acetylsalicylic acid?
Inhibits cyclooxygenase
What are the contraindications for using metoprolol?
Metoprolol should not be used in patients with severe bradycardia, heart block, cardiogenic shock uncompensated cardiac failure or severe peripheral arterial disease.
When is Losartan contradicted?
Allergy to the drug , pregnancy and bilateral renal artery stenosis. Should be avoided in patients with Hyperkalemia or severe renal impairment.
(blank) route delivers medication to the lungs and allows for rapid onset of action and reduced systemic side effect?
Inhalation Route
What are the adverse effects of Lisinopril?
Dry Cough, hyperkalemia (high potassium level), decreased renal function, hypotension (low blood pressure), angioedema (swelling of the face tongue and throat)
A patient is taking aspirin for the prevention of cardiovascular events. The nurse should educate the patient to report which of the following symptoms, which could indicate a serious adverse effect?
Tinnitus
What is the mechanism of action for a Beta-Blocker such as metoprolol?
Beta-blockers work by blocking the influence of adrenaline on the heart and the blood vessels so they lower the heart rate and blood pressure.
What is the mechanism of action for angiotensin receptor blocker (ARB)s such as Losartan?
Angiotensin II receptor blockers (ARBs) work by blocking the action of angiotensin II, a hormone that causes blood vessels to constrict. By inhibiting this hormone, ARBs help relax the blood vessels, allowing them to widen. This relaxation leads to a decrease in blood pressure and makes it easier for the heart to pump blood.