A pregnant woman needs a lipid-lowering agent. 2001; 32: 980–986. Importance of mentioned lifestyle changes should also be emphasized. “HDL levels should be less than 60 mg/dL to maintain good cardiac health.”, B. This website provides entertainment value only, not medical advice or nursing protocols. It increases risk of atorvastatin toxicity. B. Bile acid sequestrants All of the following are factors of CAD, except: Antihyperlipidemic agent that is used to decrease plasma cholesterol levels. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. HMG-CoA reductase inhibitor is pregnancy category X. Lipid levels of individuals with coronary artery disease (CAD) is usually high. The answer is B. It can result to potentially fatal lipolysis. Her interests include Research and Medical-Surgical Nursing. Here is a table of commonly encountered antihyperlipidemic drugs, their generic names, and brand names: The adverse effects of bile acid sequestrants nurses need to watch out for are as follows: Here are important nursing considerations when administering bile acid sequestrants: These are the important things the nurse should include in conducting assessment, history taking, and examination: Here are some of the nursing diagnoses that can be formulated in the use of this drug for therapy: These are vital nursing interventions done in patients who are taking bile acid sequestrants: Here are aspects of care that should be evaluated to determine effectiveness of drug therapy: Here are important nursing considerations when administering HMG-CoA reductase inhibitors: These are vital nursing interventions done in patients who are taking HMG-CoA reductase inhibitors: The therapeutic action of cholesterol absorption inhibitors are as follows: Cholesterol absorption inhibitors are indicated as follows: Cholesterol absorption inhibitors are contraindicated with the following: The adverse effects of cholesterol absorption inhibitors are as follows: Assess the interaction of the drug with the following: Here are important nursing considerations when administering cholesterol absorption inhibitors: These are vital nursing interventions done in patients who are taking cholesterol absorption inhibitors: Quiz time! Lehne, R. A., Moore, L. A., Crosby, L. J., & Hamilton, D. B. As this happens, more LDL segments from the circulation will be absorbed by the intrahepatic circulation to make more bile acids. Pravastatin is an HMG-CoA reductase inhibitor that can prevent first MI even in patients who do not have documented increase in cholesterol concentration. D. Dismiss the complaint. Your patient who is taking a statin develops yellowing of the skin, abdominal pain in the right upper quadrant, and nausea. 5. D. In the mornings. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. All patients were taking a HMG-CoA reductase inhibitor as monotherapy for treatment of high blood cholesterol for a minimum of 1 year. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. Consequently, less cholesterol goes to the liver and it increases the cholesterol clearance to make up for the drop. C. At night Pharmacology for nursing care. Monitor patient compliance to drug therapy. The nurse knows that this combination should be avoided because? Bile acid contains a lot of cholesterol and bile acid sequestrants bind to them to form an insoluble complex that is then excreted in the feces. B. simvastatin (Zocor) You can also copy this exam and make a print out. This is the drug of choice for women of childbearing age. 4. The other statements are true. In a sense, HMG-CoA reductase inhibitors block the completion of cholesterol synthesis in the body. dietary restrictions, regular exercise, and smoking cessation) should be emphasized to this age group. You can also take more fun nursing quizzes. Effect to fetuses and neonates is not known. Also, this page requires javascript. Coronary arteries are now unable to balance oxygen demand and blood supply. 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