How's it Work?
Increases heart force, slows the SA node and rate of impulse in the conduction system.
Cardiac Glycosides- Digoxin
Captopril
What is an ACE Inhibitor?
This hypertensive medication class slows the heart rate, and a heart rate of below 60 should be reported.
What are beta-blockers.
This medication causes a dry, nonproductive cough
What are ACE Inhibitors?
Normal Potassium Level Range
What is 3.5 to 5?
Binds to renin to stop both angiotensin II and aldosterone
Direct renin inhibitors – aliskiren (Tekturna)
Aldactone
What is an Aldosterone antagonists?
Fred, you are going to need blood work- Monitor PT/INR daily initially and eventually every 2 to 4 weeks.
Anticoagulants – warfarin (Coumadin)
You cannot take this treatment for hemophlia A if you have Type IIB von Willebrand disease
Desmopressin – desmopressin (DDAVP, Stimate)
ONe side effect of this drug is Staining of teeth (liquid form)
Iron Preparations – ferrous sulfate (Feosol), iron dextran (INFeD)
This drug works by blocking angiotensin II, causing vasodilation and excreting sodium and water through aldosterone.
What are ARB's (Angiotensin II receptor blockers)
Lopressor
What are Beta blockers.
Your client will need to Monitor blood glucose periodically when on this diuretic
Thiazide diuretics – hydrochlorothiazide (Microzide, Oretic)
Can cause Facial flushing, perception of heat (caused by vasodilation)
Calcium Channel Blockers (dihydropyridines)
– nifedipine (Adalat, Procardia)
If mixed with digoxin, this hypertensive medication can have an increased bradycardic reaction.
What are Beta-Blockers
Stops platelet aggregation
Antiplatelets (ADP inhibitors) – clopidogrel (Plavix)
Epinephrine
Adrenergic agonist
With this Blood Pressure medication, you must educate your patient that they cannot be on potassium-sparing diuretics, because hyperkalemia is a serious risk.
What is Aldactone?
This drug has : A very minimal risk from human-derived forms
could carry the protein that causes Creutzfeldt-Jakob disease.
Factor VIII/IX – factor VIII concentrate (Advate, Hemofil-M),
factor IX concentrate (BeneFix, AlphaNine SD)
Antidote to Warfarin.
Vit K.
Works on the Loop of Henry to block sodium- can cause tinnitus and hypokalemia
High-Ceiling Loop diuretics- Furosemide (Lasix)
verapamil (Calan)
Class IV/Calcium channel blockers
If you patient has asthma, this might not be the best hypertensive med for them.
Alpha/beta blockers – carvedilol (Coreg)
Can cause Necrosis.
Dopamine
You must discontinue an ACE Inhibitor is this occurs.
What is angioedema?
Activates receptors in the arterioles to lead to vasoconstriction and dilation of the pupils.
Adrenergic Agonists
lidocaine (Xylocaine)
Class IB/Sodium channel blockers
Patient's must be educated that this type of hypertensive drug has many interactions with: with grapefruit, rifampin, rifabutin, phenobarbital,
phenytoin, carbamazepine, or St. John’s wort
Calcium Channel Blockers (dihydropyridines)
– nifedipine (Adalat, Procardia)
This medication used to treat heart failure, can cause a hypertensive crisis.
What is Dobutamine?
Caregivers should avoid touching ointment when applying
Nitrates – nitroglycerin, isosorbide (Isordil)
This type of diuretic reduces intracranial pressure and intraocular pressure by raising serum osmolarity
Osmotic Diuretics.
Heparin and Lovenox
Anticoagulants
On this medication, Fred is going to need to be taught about potassium rich foods- Avoid potassium supplements, large amounts of high-potassium foods,
and salt substitutes
Potassium-sparing diuretics – spironolactone (Aldactone)
Gonna need to have that aPTT checked to ensure aPTT at one and a half to two times the baseline value.
Anticoagulants – (factor Xa/thrombin inhibitors) heparin;
(factor Xa inhibitor) enoxaparin (Lovenox)
The antidote to Heparin.
protamine