Antihypertensive
What is the first drug class of choice for HTN
Diuretics
What class of drug us hydrochlorothiazide?
Diuretic
What are the adverse effects of vasodilators
Hypotension, fatigue, HA, orthostatic hypotension
Which drugs end in -pril
ACE inhibitors
ex- captopril (Capoten), benazepril (Lotensin), enalapril (Vasotec), ect.....
is furosemide (lasix) potassium sparing or wasting? What does this mean?
potassium wasting, must watch for hypokalemia
Someone is started on antihypertensive medication, what do we need to watch?
hypotension, fall risk, orthostatic hypotension, first dose hypotensive effect, SE (lightheaded, dizzy, ect.)
Will potassium increase or decrease when a medication in potassium-sparing
can cause increased potassium levels (holds onto potassium)
Which class of drugs has major side effects, is nonproductive cough? Might be a reason someone asks to change to which other class?
ACE inhibitor's major side effect is cough
Can change to an ARB (angiotensin 2 receptor blockers)
What is orthostatic hypotension?
A sudden drop in BP with movement (stands up). Can be a side effect from antihypertension medication or a reason to give midodrine
What is the major allergic reaction seen from ACE inhibitors
Angioedema
What do CCB do to decrease BP in the body
Cause smooth muscle relaxation, dilation of arteries throughout the body
Depression of conduction through SA and AV node (cause decreased HR)
When someone is in cardiogenic shock and BP is low, what is the first drug of choice?
Norepinephrine (levophed)
What is the adverse effect of stopping clonidine suddenly?
severe rebound HTN
Which drugs end in -olol
Beta Blockers
ex-propranolol, metoprolol, and atenolol
what organ do I need to watch when giving diuretics
Kidneys
Which class of drugs is Losartan (cozaar)
ARBs - angiotensin 2 receptor blocker
What labs are important to monitor?
Kidney function, liver function (hepatic function)
Cholesterol
serum potassium, sodium, Mg, calcium
Which class of meds end in -pine
Calcium channel blockers
What does someone need if their kidneys can not filter on their own
Dialysis
Why would I give someone a beta blocker
angina, conduction problems, HTN, high HR,
what is an EKG?
shows the electrical activity of the heart
tells if there is damage or slow condition
tells if heart is beating appropriately
What do I check as a RN before giving antihypertensive medications
BP, HR, RR, S/S (CP, dizziness, SOB), allergies, PMH, current medications