cardiovascular

Question 1

patient with sulfa allergy can not take

Answer 1

chlortalidone (thiazide diuretic) because

thiazide is a sulfonamide-containing drug with commonly reported adverse effects, including electrolyte abnormalities, orthostatic hypotension, hyperglycemia, and photosensitivity.

Question 2

when amlodipine (CCB) is prescribed

Answer 2

lab would not be needed

Question 3

when lisinopril (ACE inhibitor) is prescribed what lab should be checked

Answer 3

potassium (would be increased)
Bun, cr (checked renal function)

Question 4

when losartan (ARB) is prescribe what lab should be checked

Answer 4

Potassium
Bun, crea

Question 5

when on chlortalidone (thiazide diuretic)

Answer 5

potassium should be checked due to hypokalemia

Question 6

NB never prescribe an ACE and ARB to a pt

Answer 6

Diabetic pt high risk for stroke

both meds work on the angiotensin

Question 7

hypertensive meds always start at lowest dose

Answer 7

statin meds can be start at any dose and the pt will be fine with

Question 8

when to initiate fibrate

Answer 8

when triglyceride is > than 500

Question 9

what happen when older adult takes Naproxen?

Answer 9

increase sodium so increase BP

naproxen products contain salt (sodium).

Question 10

a pt with heart failure on CCB, naproxen

Answer 10

discontinue the CCB
calcium contract the muscle and the heart is a muscle so a CCB will block the heart contraction
it will decrease the rate of contraction
discontinue the naproxen - it will increase fluid overload

Question 11

if you hear a murmur place your hand to the carotid pulse if the murmur synchronist with the carotid pulse

Answer 11

it’s a systolic murmur

Question 12

murmur are loudest where they originate