alpha-adrenergic blocker
what is our alpha-adrenergic blocker?
prazosin
what is our thiazide diuretic
hydrochlorothiazide (HCTZ)
what is our K+ sparing diuretic
spirnolactone
what is our loop diuretic called?
furosemide
what is our calcium channel blocker called?
nifedipine
what is the indication and contraindication?
HTN
severe hypotension
what is the indication?
HTN, edema
indications/contrainidcaions?
HF, HTN, edema
hyperkalemia, kidney disease
what is the indication and contraindication for a loop diuretic
edema, HF, HTN
anuria, electrolyte depletion
HTN, angina
common side effects?
dizziness, drowsiness, ortho hypo
what are the common side effects?
hypokalemia, dizziness, increased urination (yay!)
common side effects?
dizziness, fatigue, gynecomastia (enlargement of breast tissue in males)
common side effects
increased urination (yay!), dehydration, hypokalemia (also bad)
what are some common side effects we may see with this drug?
flushing, headache, peripheral edema, dizziness
preferably at bedtime (safe from ortho hypo)
when do we administer this drug?
in the AM to prevent nocturia
nursing implications
monitor K+ frequently, monitor renal fxn
serious adverse effects
ototoxicity, severe dehydration, dysrhythmias due to low K+
what is nursing monitoring when giving this drug?
BP, edema
what can prazozin also be used for? AKA what is another indication not relating to cardiac?
PTSD
what do we monitor as the nurse
K+, Na+, BP, daily weight
avoid K+ supplements, avoid salt substitutes with K+
nursing implications
monitor I&Os, daily weights, monitor K+ and BP
what is some pt education for this drug?
avoid grapefruit juice, don't stand up too fast (otho hypo)