HTN

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Author:
dgroce2123
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64381
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HTN
Updated:
2011-02-05 22:48:46
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HTN
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HTN Lecture
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  1. Check BP before giving HTN meds:
    If < 90
    Hold and call MD
  2. If there is a significant decrease in BP from what is normal for that patient:
    Hold and Call MD
  3. Is a pre-op patient usually given their HTN meds?
    Yes
  4. What type of HTN meds end in "ide"?
    Diuretics
  5. What is the action of Thiazide/thiazide-like diurectics?
    • Block Na reabsorption
    • Water excreted with Na
    • Decreased blood volume
  6. What are the side effects of Thiazide/thiaazide like diuretics?
    • Increase BUN, uric acid, blood glucose
    • HypoKalemia (cramps)
    • Postural hypotension
    • Fatigue
  7. Chlorothazide
    Diuril
  8. Hydrochlorothiazide
    Hydrodiuril
  9. Indapamide
    Lozol
  10. Metolazone
    Zaroxlyn
  11. Thiazide/Thiazide like and Loop diurectics are:
    Potassium wasting diurectics
  12. What are the actions of Loop Diurectics?
    • Block NA and water reabsorption
    • decreases blood volume
  13. What are the Side Effects of Loop Diuretics?
    • HypoKalemia
    • Postural Hypotension
    • Increase uric acid
  14. Bumetanide
    Bumex
  15. Furosemide
    Lasix
  16. Torsemide
    Demadex
  17. What does an increase in uric acid usually cause?
    Gout
  18. What are the common meds for Gout?
    • Zyloprin
    • Allopurinal
  19. What are the actions for Potassium-Sparing Diuretics?
    • Inhibit aldosterone
    • Na excreted in exchange for K
  20. What are the Side Effects for Potassium-Sparing Diuretics?
    • HyperKalemia
    • Nausea
  21. Patients taking Potassium Sparing Diurectics should avoid?
    Salt Subs
  22. SPIonolactone
    Aldactone
  23. TRIamterene
    Dyrenium
  24. What type of HTN meds end in "lol"
    • Adrenergic Inhibitors
    • Beta Blockers
  25. What are the actions of Beta Blockers?
    • Block beta-adrenergic receptors in SNS
    • Decrease HR and BP
    • Decrease Renin release by kidneys
  26. What are the Side Effects of Beta Blockers?
    • Bradycardia
    • Fatigue
    • Mental Depression
  27. What is a side effect of beta blockers for a diabetic?
    may not have usual hypoglycemic symptoms
  28. When should a beta blocker not be used?
    • Asthma
    • COPD
    • Heart Block
  29. Before giving a beta blocker, what should you check?
    • Apical Pulse
    • *if less than 60 hold and notifiy MD
  30. Atenolol
    Tenormin
  31. Metoprolol
    Lopressor
  32. Nadolol
    Corgard
  33. Propranolol
    Inderal
  34. What are theactions of Centrally acting alpha blockers?
    Decrease PVR
  35. What are the side effects of Centrally acting alpha blockers?
    • Drowsiness
    • Sedation
    • Orthostatic hypotension
  36. What HTN med is usually giving PRN?
    Centrally acting alpha blockers
  37. CAAB
    Clonidine
    Catapres
  38. CAAB
    Methyldopa
    Aldomet
  39. What are the actions for Alpha-1 Adrenergic Blockers?
    Decrease PVR
  40. What are the S/E of Alpha-1 Adrenergic blockers?
    • First dose syncope
    • ortho hypotension
  41. Alpha-1
    Prazosin
    Minipress
  42. Alpha-1
    Terazosin
    Hytrin
  43. What are the actions of Combo Alpha/Beta Blockers?
    • Block beta adrenergic receptors in SNS
    • Decreased HR and BP
    • Dcreased renin release by kidneys
    • (same as Beta Blockers)
  44. What are the S/E of Combo Alpha/Beta Blockers?
    • Ortho Hypotension
    • Bronchospasm
  45. What should you check before giving and Combo Alpha/Beta Blocker?
    • Apical Pulse
    • Blood Pressure
  46. Combo Alpha/Beta
    Labetalol
    • Normoodyne
    • Trandate
  47. What are the actions of Vasodilators?
    Dilate peripheral vessels by directly relaxing vascular smooth muscle
  48. What are the S/E of Vasodilators?
    • Headache
    • Dizziness
  49. VASO
    Hydralazine
    Apresoline
  50. VASO
    Minoxidil
    Loniten
  51. What type of HTN med ends in "pril"?
    ACE inhibitors
  52. What are the actions of ACE inhibitors?
    • Inhibits conversion of angiotensin to angiotensin II
    • Prevents vasoconstriction
  53. What are the S/E of ACE inhibitors?
    • First dose Hypotension
    • Cough
    • HyperKalemia
  54. Renal function should be monitored while taking an ACE inhibitor, what labs would reflect this?
    • BUN
    • Creatinine
  55. Names of ACE inhibitors generic and trade
    • Catopril - Capoten
    • Enalapril - Vasotec
    • Lisinopril - Prinivil
    • Benzapril - Lotensin
    • Fosinopril - Monopril
    • Quinopril - Accupril
  56. What are the actions of Angiotensin II Receptor Blockers "ARB"?
    Blocks effect of angiotensin II at the receptor
  57. What are the S/E of ARB's?
    • There are minimal S/E
    • possible HyperKalemia
  58. What type of HTN med ends in "sartan"?
    ARB
  59. ARB med generic and trade names
    • Losartan - Cozaar
    • Irbesartan - Avapro
    • Valsartan - Diovan
  60. What are the actions of Calcium Channel Blockers?
    • Inhibit influx of Ca into muscle cells
    • promote vasodilation
    • Decreases PVR by relaxing vascular smooth muscle
  61. What are the S/E of Ca channel blockers?
    dizziness
  62. What should patients taking Ca Channel Blockers avoid?
    Grapefruit Juice
  63. What type of HTN med is considered the "work horse"?
    Ca Channel Blockers
  64. Ca Channel Blocker meds generic and trade name
    • Diltiazen - Cardizem
    • Nifedipine - Procardai
    • Verapamil - Calan- Isoptin
    • Verapamil SR
    • Amlodipine - Norvasc
  65. An HTN emergency is an acute elevation of BP of ?
    >180/120

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