Antihypertensives

Card Set Information

Author:
jam11007
ID:
304226
Filename:
Antihypertensives
Updated:
2015-06-19 20:44:34
Tags:
Pharm
Folders:
NCLEX
Description:
antihypertensives
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  1. ACE inhibitor medications
    • Benazepril
    • Captopril
    • Enalapril
    • Enalprilat
    • Fosinopril
    • Lisinopril
  2. Angiotensin II Receptor Blocker (ARB) medication
    • Losartan
    • Valsartan
    • Irbesartan
  3. Ace inhibitors
    Action - blocks conversion of angiontensin I to angiotensin II
  4. Angiotensin II Receptor Blockers
    Action - selectively block the binding of angiotensin II to AT1 receptors found in the tissues
  5. ACE and ARB side/effects and nursing considerations
    • persistent non-productive coughwith ACE inhibitors
    • angioedema; hypotension
    • not to be used in 2nd or 3rd trimester of pregnancy¬†
    • Captopril should be taken 1hr before meals
    • monitor BP
    • monitor of angioedema and promptly administer epinephrine subcut
  6. Calcium Channel Blocker medications
    • Nifedipine
    • Verapramil
    • Diltiazem
    • Amlodipine
  7. Calcium Channel Blocker Action and use
    • Action: Arteriole dilation and decreased blood pressure
    • USE: angina, HTN (Verapamil may be used for afib, atrial flutter, or SVT)
  8. Calcium Channel blockers side/adverse effects and precautions/interactions
    • Side/adverse effects: consitation, reflex tachycardia, peripheral edema, toxicity
    • Precautions/interactions: use cautions with pts taking Digoxin and beta blockers, contraindicated for HF, heart block, or bradycardia, DO NOT CONSUME GRAPEFRUIT JUICE.
  9. Centrally Acting Alpha2 Agonist medications
    • Clonidine
    • Guanfacine
    • Methyldopa
  10. Centrally Acting Alpha2 Agonist action and use
    • Action: reduce peripheral vascular resistance, heart rate, and systolic and diastolic blood pressure
    • Use: Primary HTN, HTN crisis, severe CA pain
  11. Centrally Acting Alpha2 Agonist side/adverse effects and precautions/interactions
    • Side/adverse effects: dry mouth, drowsiness and sedation, rebound HTN, black or sore tongue, leukopenia¬†
    • precautions/intercations: contraindicated with anticoagulant therapy and hepatic failure, DO NOT ADMINISTER TO CLIENTS TAKING MAOIs

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