Download NSG 533 Exam 3: Asthma, COPD, Hypertension, and Cardiovascular Medications and more Exams Pathology in PDF only on Docsity!
NSG 533 Exam 3 questions with answers
symptoms of uncontrolled asthma - CORRECT ANSWERS ✔✔at least three of the following: -daytime asthma more than 2x a week -nighttime awakening -reliever therapy more than 2x a week -activity intolerance treatment of asthma symptoms less than 2x a month - CORRECT ANSWERS ✔✔as needed low dose ICS-formoterol or as needed low dose ICS with SABA treatment of asthma symptoms more than 2x a month - CORRECT ANSWERS ✔✔daily low dose ICS and as needed SABA or as needed low dose ICS-formoterol treatment of asthma symptoms most days of the week - CORRECT ANSWERS ✔✔daily low dose ICS-formoterol and as needed SABA or daily medium dose ICS and SABA treatment of daily asthma symptoms (severe asthma) - CORRECT ANSWERS ✔✔daily medium dose ICS-formoterol with reliever therpy OR daily high dose ICS with reliever therapy
ICS-formoterol medication drug name - CORRECT ANSWERS ✔✔budesonide-formoterol Short-acting muscarinic antagonist (SAMA) - CORRECT ANSWERS ✔✔Ipratropium avoid co administration of ICS with which CYP3A4 inhibitors? (may cause cushing's) - CORRECT ANSWERS ✔✔ritonavir, itraconazole, ketoconazole lack of response to ICS may be indicative of what? - CORRECT ANSWERS ✔✔CLCCl1 gene LABAs - CORRECT ANSWERS ✔✔Salmeterol Formoterol Vilanterol LAMAs - CORRECT ANSWERS ✔✔tiotropium bromide umeclidinium lueokotriene receptor antagonists - CORRECT ANSWERS ✔✔- lukast monoclonal antibodies - CORRECT ANSWERS ✔✔-umab, monitor for adverse events 2 hours afterwards for 3 months and then 30 minutes afterwards therafter, co-prescribe with epipen
avoid intranasal decongestants with these conditions - CORRECT ANSWERS ✔✔BPH, glaucoma, cardiac disease, hyperthyroidism Intranasal Cromolyn - CORRECT ANSWERS ✔✔NasalCrom Extremely safe but moderately effective Suppresses release of histamines from mast cells Best used for prophylaxis, not treatment Response may take 1-2 wks to develop how to treat hypertension - CORRECT ANSWERS ✔✔a. Step 1: ACE inhibitor or ARB or CCB or thiazide diuretic b. Step 2: ACE inhibitor or ARB + CCB or thiazide diuretic c. Step 3: ACE inhibitor or ARB + CCB + thiazide diuretic Step 4: ACE inhibitor or ARB + CCB + thiazide diuretic + spironolactone Avoid CCB in patients with - CORRECT ANSWERS ✔✔heart failure or MI avoid ARBs in patients with - CORRECT ANSWERS ✔✔MI, pregnancy Calcium Channel Blockers - CORRECT ANSWERS ✔✔-dipine (dihydropyridine)
verapamil, diltiazem (non-dihydropyridines) which CCB is best for angina - CORRECT ANSWERS ✔✔verapamil Contraindications for ACE inhibitors - CORRECT ANSWERS ✔✔biliary renal artery stenosis, h/o angioedema, pregnancy contraindications for beta blockers - CORRECT ANSWERS ✔✔asthma/ bronchospastic conditions, severe bradycardia, AV block, bradycardia-tachycardia syndrome, severe unstable left ventricular failure, edema, prizamental angina do not use with verapamil, diltiazem, and digoxin target digoxin level - CORRECT ANSWERS ✔✔0.5-0.9 ng/mL ARBS - CORRECT ANSWERS ✔✔-sartan -Similar to ace inhibitors but do not increase bradykinin levels (which is associated with cough) high intensity statin therapy - CORRECT ANSWERS ✔✔Atorvastatin 40-80 mg Rosuvastatin 20-40 mg
warfain inhibits which clotting factors? - CORRECT ANSWERS ✔✔2,7,9, INR value for warfarin - CORRECT ANSWERS ✔✔2- why is warfarin initiated with a fast acting heparin? - CORRECT ANSWERS ✔✔warfarin causes reduction in natural anticoagulents before reducing clotting factors, causing the body to be in a hypercoagulable state for 5 days Direct thrombin inhibitors - CORRECT ANSWERS ✔✔Dabigatran NOACs - CORRECT ANSWERS ✔✔newer oral anticoagulants which inhibit factor xa apaxiban, rivaroxiban, edoxaban
