6. A. 24.5Nm24.5 \mathrm{Nm}24.5Nm B. Angiotensin I is cleaved by angiotensin converting enzyme (ACE) in the lungs into Angiotensin II. They inhibit reabsorption in the distal convoluted tubule of the nephron, Work by inhibiting reabsorption of Na+ into the blood as water tends to follow salt, Water remaining in the filtrate will be excreted in urine, blood vessels) = reducing vascular pressure = lowering BP, Long term therapeutic use = vasodilation = lower BP, Common side effects: Hypokalemia, fatigue. Aldosterone increases the kidney's sodium and fluid retention, thereby increasing blood volume and thus, BP. right and left atria As the venous smooth muscle remains unaffected, a pressure and fluid imbalance results, which may lead to edema from fluid pooling in the tissue space between cells. -regulate overall body temperature When the human body produces too much insulin, over a long period, our body's cells start developing resistance to the normal effect of insulin, causing what we know as Diabetes Mellitus type 2. After: ACE inhibitors prevent the production of angiotensin II and the breakdown of bradykinin Folks who are at an increased risk for developing type 2 diabetes can take steps to prevent type 2, diabetes by maintaining your ideal body weight, exercising regularly (regular exercise reduces, insulin resistance), eating a healthy diet low in sugar and processed foods and by being, The shadow health antidiabetic concept lab was very unique as it did not take us into a, clinical office visit but instead, creating an interactive learning environment. -long term use: vasodilation, which helps lower BP, Common: hypokalemia, fatigue whats the primary reason for your visit Question 03/31/20 1:00 AM CDT , https://onlinenursingpapers.com/arun-patel-shadow-health-focused-exam-hypertension-and-type-2-diabetes/, Health (9 days ago) WebSign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. Health History documentation Shadow Health, Digital Clinical Experience Orientation Completed Shadow Health, 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Educational Psychology and Development of Children Adolescents (D094), Medical-Surgical Nursing Clinical Lab (NUR1211L), Language Arts Instruction and Intervention (C365), Organic Chemistry Laboratory I (CHEM 223), Variations in Psychological Traits (PSCH 001), Introduction To Project Management Software (CSBU539), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), History 1301-Ch. 6. The persistent elevation of blood pressure within a patient beyond normal. 7. Patient states symptoms have, progressed in the recent 4 months as she has been getting more fatigued with worsening, shortness of breath on minimal exertion, and a productive cough expectorating phlegm. (Clarified to Do you experience any breathing problems after exposure to peanuts?. 09/27/21 7:14 PM CDT Question, 09/27/21 7:14 PM CDT Question 49Nm49 \mathrm{Nm}49Nm This patient has most likely been taking: -When angiotensin I is cleaved by angiotensin converting enzyme (ACE) [found in capillary tissue cells, especially in the lungs], angiotensin II is formed 09/27/21 6:05 PM CDT Question 09/27/21 7:12 PM CDT Question (SGLT-2 inhibitors prevent glucose absorption into the blood in the renal proximal tubule of the kidneys, lowering overall blood glucose levels. No, I've never had one of those. smoking with the longest being 10 years when she had her daughter. Disrupts ACE's ability to cleave angiotensin I into angiotensin II, thus stopping the mechanism that will lower BP. S.H. Water remaining in the filtrate will be excreted as urine. I'm just here for a physical. D. ARB Reports fast heartbeat episodes last 5-10 minutes, Asked about character of palpitations Describes palpitations as "thumping" or "pounding" Lab Pass (/assignment_attempts/10573347/lab_pass. She has tried using gum. of a strong, thorough interview with this patient. 2) vessels level of constriction/dilation, Systolic between 120-129 and diastolic less than 80, By addressing one or more of the three factors that govern BP Serious - angioedema, acute renal failure, first-dose phenomenon, fetal toxicity, neonatal mortality, Drugs that reduce cardiac output reduce ______ and ________, heart rate; strength of heart's contractions, Beta-adrenergic antagonists (beta blockers), Used when a first line therapy alone has failed or when a patient has another condition that may be helped by this drug, like heart failure or angina. Denies oxygen use out of fear of igniting a fire. Jul 27, 2021 - This Pin was discovered by Shania Miles. the force applied by circulating blood on the walls of the blood vessels, the pressure against the walls when the hearts ventricles contract, the pressure exerted when blood is replenished in the heart, When heart muscles relax, allowing blood back into the heart, the volume of the blood within the entire circulatory system, the volume pumped out of the heart per minute, the resistance blood meets as it flows through the blood vessels, What is peripheral resistance determined by, Primarily determined by: 1) size of blood vessels Poulter, N. R., Borghi, C., Parati, G., Pathak, A., Toli, D., Williams, B., & Schmieder, R. E. (2020). Shadow Health- Antihypertensives Concept Lab Flashcards Learn Test Match Flashcards Learn Test Match Created by Kaitievandine16 Terms in this set (64) Blood pressure (BP) the force applied by circulating blood on the walls of the blood vessels Systolic pressure the pressure against the walls when the hearts ventricles contract Diastolic pressure 9. C. ACE inhibitor This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Vasocontriction: retains heat (/site_notice_dismissals?from_flash=true&site_notice_id=506), 09/27/21 6:02 PM CDT Question Bisoprolol (Zebeta) Subjective Data CollectionObjective Data Collection Because water tends to follow sodium, its reabsorption is also limited. Thank you for helping us to improve your Shadow Health experience! Shadow Health will be performing planned maintenance this Friday 10-8-2021, from 7:00am until 7:30am Eastern. Q1: The physiological effects depicted on the mannequin and the sliders on the right most likely indicate a patient who has been taking the following oral antidiabetic agent, SGLT-2 inhibitors. Usually three consistent elevated BPs at different times are needed for a diagnosis. Do you have friends who experiment with drugs? Reports consuming diet soda or energy drinks 2) stimulates adrenal cortex to produce aldosterone -also prevent the breakdown of bradykinin (found in lungs). (Clarified to how much ibuprofen I took.). Metoprolol (Lopressor) Reports caffeine as a possible aggravating factor, Asked about relieving factors Reports deep breathing and trying to relax Reports caffeine "keeps me focused but Calcium Channel Blockers: Location and explanation of action, -work within the cells of cardiac and vascular smooth muscles I mean, unless you count ibuprofen every so often. 21 Comments Please sign inor registerto post comments. 3. She reports multiple attempts at quitting. Propranolol (Inderal) what dosage of advil do you take. Shadow Health Terms in this set (28) Blood pressure Systolic pressure - pressure exerted against the walls of blood vessels when the heart contracts Diastolic pressure - pressure exerted when the blood is refilling in the heart. Because ACE inhibitors also stop ACE from breaking down bradykinin, which is primarily found in the lungs, it's believed that this is the mechanism leading to one of its hallmark side effects - a dry cough. Reports no EKG or other diagnostic cardiac tests, Asked about stress and anxiety Reports occasional feelings of anxiety as a result dry cough is not a common side effect, Common: headache, dizziness, orthostatic hypotension, rash, diarrhea Timolol (Blocadren), -are antagonists (or inhibitors) of the adrenergic receptors in the SNS No, I don't have any health problems. She reports a 30lb weight gain over the last couple of months. The interruption of the natural breakdown of bradykinin, and the subsequent build up is responsible for one of the hallmark side effects of ACE, which is dry cough, 1. It also helps sensitize insulin-resistant cells to the insulin, allowing cells to use glucose at a normal rate), Q3: The physiological effects depicted on the mannequin and the sliders on the right most likely indicate a patient who has been taking the following oral antidiabetic agent, Alpha-glucosidase inhibitors (compete with complex carbs at the site of alpha-glucosidase enzymes in the small intestine. Antihypertensives Concept Lab SHADOW HEALTH Intro Pathophysiological factors affect BP Pathophysiology of HTN Pharmacotherapeutics to manage BP MOA and effects of thiazide diuretics, Ca 2+ ACE inhibitors, ARBs, beta blockers Home medications: Hydrochlorothiazide 50mg PO daily (Started 1 year ago) Metformin 850mg PO 3x day with meals (Started 5 years ago) Escitalopram 20mg PO daily (Started 13 years ago) Vitals: Temp 37C (Temporal), Blood pressure 146/94 (Automatic . 09/27/21 7:13 PM CDT Question Flashcard Maker: Rafael Gutierrez. E. Beta blocker, A patient who has recently started pharmacologic intervention for hypertension is experiencing the following physiologic effects: decreased vascular resistance and increased urination. Lower peripheral resistance and blood volume result in lower blood pressure, -Intended affect is to reduce peripheral resistance by preventing angiotensin II from binding to AT II receptors, limiting vasoconstriction 09/27/21 6:53 PM CDT Question Give Me Liberty! End in -pril. Seagull Edition, ISBN 9780393614176, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, Cecilia Guzman - Identifying Nutrients Gizmo Lab, EDUC 327 The Teacher and The School Curriculum Document, Focused Exam Alcohol Use Disorder Completed Shadow Health, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, (8) Making freebase with ammonia cracksmokers, Lessons from Antiquity Activities US Government, Lesson 3. -Renin then acts on circulating angiotensinogen to form angiotensin I I never really have. Denies past diagnosis of hypertension Peripheral resistance Hypertension -work similar to ACE inhibitors --> primarily work to reduce vasoconstriction, lowering peripheral resistance, 1. azilsartan (Edarbi) The patient describes the sputum as mostly clear with episodes of yellow, gray and, dark-colored expectoration. Get more out of your subscription* Access to over 100 million course-specific study resources; . Before vs. after administration of Thiazide diuretics, Before: in the DCT of the nephron, Na+ and water (and other molecules), are reabsorbed from the filtrate into the blood The body allows glucose to merge into the cells for, energy via insulin traveling in the bloodstream. 09/27/21 7:11 PM CDT Question available to be found. Health Care; Womens Health; . -Cardioselective beta blockers (ex. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Psychology (David G. Myers; C. Nathan DeWall), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. No, I 've never had one of those circulating angiotensinogen to form angiotensin I into angiotensin,! 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