hmmmm?
instruct patient: NO grapefruit juice with this class of anti-hypertensives
What is a calcium channel blocker?
IV med used to treat shock in acute situations; it is a non-specific adrenergic agonist
What is dopamine?
first line treatment for hypertension in all genders and races?
What is a thiazide diuretic?
example: hydrochlorothiazide (HCTZ)
an indirect acting cholinergic agonist that can be used to treat dementia?
What is donepezil?
What is melons, bananas and avocados?
other: sweet potatoes, potatoes,
The nurse should check the apical heart rate BEFORE administering this class of antihypertensive and hold if less than 60 bpm
What is a beta-blocker?
prototype non-specific alpha and Beta adrenergic antagonist that is used for hypertensive emergencies (IV)
What is labetalol?
this abnormal lab value can cause an increase in the risk for dig toxicity
What is hypokalemia?
normal potassium level 3.5-5
can be used to dry secretions during surgery and to treat bradycardia
What is atropine?
normal dig level
What is 0.5-2 ng/mL?
This drug is used to counteract the effects of an epinephrine or dopamine intravenous extravasation into surrounding tissues.
What is phentolamine?
This class of antihypertensives can cause bronchoconstriction, bradycardia and can mask the side effects of hypoglycemia.
What are beta-blockers?
(100 point bonus if you answered beta-1 specific beta blockers)
this drug is used in patient's with heart failure who are unresponsive to digoxin; there is a protocol for giving this drug; typically used in heart failure units; only given IV
What is milrinone?
these are side effects of bethanechol
Name 3
What is flushing, urinary urgency, diarrhea, increased sweating, dizziness, pupil constriction?
this class of drugs causes direct vasodilation of arterioles to produce an antihypertensive effect
What are vasodilators?
example: hydralazine
this class of antihypertensive is CI in pregnancy and can cause hyperkalemia
What are ACE Inhibitors?
Effects of this part of the nervous system include pupil dilation, increased heart rate, increased blood pressure, and decreased gastric motility.
What is the sympathetic nervous system?
drug treatment for digoxin toxicity
What is digoxin immune fab?
a drug used to differentiate between cholinergic and myasthenic crisis
What is edrophonium?
this class of drugs works in the RAAS to block the conversion of angiotensin I to angiotensin II thereby producing an antihypertensive effect
What are ACE Inhibitors?
blockage of aldosterone in the RAAS can lead to what undesirable side effect of ACE Inhibitors?
What is hyperkalemia?
3 indications for the use of ACE inhibitors
HTN, CHF, and prevention of diabetic nephropathy
bradycardia, halo vision, confusion, heart block
What are signs and symptoms of digoxin toxicity?
Two of our prototype medications that can cause a big "first dose response"?
What is doxazosin and lisinopril?
this class of drugs produces an inotropic effect by allowing more calcium to enter the cell during depolarization (increased calcium= increased contractility of heart muscle)
What are cardiac glycosides?
example: digoxin