Baker's Exam 3: Hypertension Medications

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Author:
kmaher
ID:
121766
Filename:
Baker's Exam 3: Hypertension Medications
Updated:
2011-12-09 00:14:17
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Dental Therapeutics
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Hypertension Medications
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  1. What category of HTN medication is: Hydrochlorthiazide?
    Thiazide-type diuretic
  2. What category of HTN medication are: Bumetamine and Furosemide?
    Loop Diuretics
  3. What category of HTN medication are: Spironolactone and Triamterene?
    K+-Sparing Diuretics
  4. What category of HTN medication are: Benazepril, Enalapril, Lisinopril, and Ramipril
    ACE inhibitors
  5. What category of HTN medication are: Losartan and Valsartan
    Angiotensin Receptor Blockers (ARBs)
  6. What category of HTN medication is: Amlodipine, Diltiazem, Nifedipine, and Verapamil
    Ca+2 Channel Blockers
  7. What category of HTN medication is: Atenolol, Bisoprolol, Carvedilol, Metoprolol, Nadolol, and Propanolol
    Beta Blockers
  8. Which Beta Blockers are selective BBs? (+)
    *Primarily blocks beta-1 in the heart*
    Atenolol, Bisoprolol, and Metoprolol
  9. Which Beta Blockers are Non-Selective BBs? (++)
    *Blocks both beta-1 in the heart and beta-2 in the periphery*
    Nadolol and Propanolol
  10. Which Beta Blockers are Non-Selective beta and alpha-1 blockers? (+++)
    Carvedilol
  11. What category of HTN medication is: Doxazosin and Terazosin?
    Alpha Blockers
  12. What are the common dentally significant adverse effects of Thiazides?
    *hydrochlorothiazide*
    • low K+
    • slight xerostomia
    • oral ulcerations
  13. What are the common dentally significant adverse effects of Loop diuretics?
    *bumetamine, furosemide*
    • dehydration
    • low K+
    • oral lesions
    • most sig xerostomia
  14. What are the common dentally significant adverse effects of ACEIs?
    *benazepril, enalapril, lisinopril, ramipril*
    • HA
    • dizziness
    • hypotension
    • loss of taste
    • oral ulcers
    • cough (ACE breaks down bradykinin in lung)
    • Orofacial
    • angioedema
    • “scalded mouth syndrome”
  15. What are the common dentally significant adverse effects of CCBs?
    *amlodipine, diltiazem, nifedipine, verapamil*
    • HA
    • dizziness
    • orthostatic hypotension
    • gingival overgrowth
  16. What are the common dentally significant adverse effects of BBs?
    *atenolol, bisoprolol, carvedilol, metoprolol, nadolol, Propranolol*
    • bradycardia
    • sudden withdrawal can lead to rebound hypertension
  17. What are the common dentally significant adverse effects of ABs?
    *doxazosin, terazosin*
    • dizziness
    • HA
  18. What is the major tx impact of Thiazides?
    *hydrochlorothiazide*
    NSAIDs potentially decrease diuretic effectiveness
  19. What is the major tx impact of Loop Diuretics?
    *bumetamine, furosemide*
    NSAIDs potentially decrease diuretic effectiveness
  20. What are the major tx impact of ACEIs?
    *benazepril, enalapril, lisinopril, ramipril*
    • NSAIDs potentially decrease effectiveness
    • caution with position change
    • watch for hyperkalemia
  21. What are the major tx impact of ARBs?
    *losartan, valsartan*
    • NSAIDs
    • potentially decrease effect
    • watch position change
  22. What are the major tx impact of CCBs?
    *amlodipine, diltiazem, nifedipine, verapamil*
    • gingival overgrowth
    • position change
    • drug intx including the potentially fatal intx with diltiazem/verapamil and macrolides
  23. What are the major tx impact of BBs?
    *atenolol, bisoprolol, carvedilol, metoprolol, nadolol, Propranolol*
    • Limit epi to 0.04mg with ++ agents but can use up to 0.2mg with + agents.
    • +++ agents used for HF so disease limits epi to 0.04mg
    • NSAIDs may reduce effectiveness
    • may cause xerostomia
  24. What are the major tx impact of ABs?
    *doxazosin, terazosin*
    • NSAIDs reduce effectiveness
    • caution with position change
  25. What are some dental mgmt considerations for pts with HTN?
    • Morning appts
    • Avoid lengthy appts
    • Use anxiolytics when indicated (BZDP, N2O)
    • Avoid intravascular injections
    • Avoid retraction cord w/epi
  26. Tx Recommendations for pts with HTN
    • DBP: 105/119 = limited elective care or emergency and refer to physician w/in 2wks, 120+ = emergency only w/immediate referral to physician
    • SBP: 200+ = limited elective care or emergency care

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