CAM
True or False
Drug-herb interactions have been documented that may either increase the toxicity of the prescription drug or reduce its effectiveness.
What is true.
These drugs inhibit Angiotensin I from converting to Angiotensin II. *Angiotensin II causes vasoconstriction & stimulates aldosterone secretion.
What are ACE Inhibitors- meds ending in “pril”
Grapefruit/juice may cause toxic effects when using these drugs.
What are calcium channel blockers
Name 3 factors responsible for blood pressure.
What is cardiac output, peripheral resistance and blood volume?
These meds may treat hypertension, angina, and dysrhythmias
What are calcium channel blockers
True or False
´Many products may interfere with absorption, breakdown, and excretion of anesthetics, anticoagulants, and other drugs used in surgery.
What is true
Calcium channel blockers selective to arterioles affect which part of cardiac function
What is afterload?
Name 3 side effects of taking ace inhibitors to monitor for in patients.
What is:
dry cough
hyperkalemia
Angioedema
Name a classification of medications that lowers blood volume and blood pressure.
What are diuretics?
The nurse must monitor heart rate and blood pressure for this classification of meds.
What are beta blockers.
True or False
CAM does not focus on the role of spirituality in health and healing.
What is false?
Angiotensin II receptors are blocked causing potent vasodilation; decrease systemic vascular resistance (afterload)
What are Angiotensin Receptor Blockers (ARBS) or meds ending in “sartan”
These drugs cause CNS effects, sedation, dizziness
'What is an Alpha 2 Adrenergic Agonist such as Clonidine (Catapres)
Target organs affected by untreated hypertension
What is the
•Heart
•Brain
•Kidneys
•Retina
Name the classification of drug the patient is receiving for hypertension if he is taking amlodipine.
What are Ca+ Channel Blockers - that end in "dipine"
An herbal with side effects that include headache, dizziness, nausea, GI upset, increase bleeding, allergic reactions.
What is Ginko biloba?
Action works to:
–Decrease heart rate and contractility
–Reduce cardiac output – decreases angina
–Lowers blood pressure
–Slows conduction through the myocardium – AV node,
What are Beta Blockers- meds ending “lol”
May cause reflex tachycardia – Beta blockers given in combination to decrease heart rate, Sodium and Water retention- diuretic given concurrently
What is a Direct Vasodilator such as Hydralazine (apresoline)
Name nonpharmacological methods used to help control hypertension
What is
•Limit alcohol intake
•Restrict sodium consumption
•Reduce saturated fat and cholesterol; increase fresh fruit and vegetable intake
•Increase aerobic physical activity
•Discontinue tobacco use
•Reduce stress and Maintain optimum weight
Decreases the outflow of sympathetic nerve impulses from the CNS.
Same response as Alpha 1 blockers
Slowing of heart rate and dilation of the arterioles
What are Alpha 2 Adrenergic Agonist.
an example is Clonidine (Catapres)
A patient receives an anticoagulant secondary to previous blood clots. The nurse should reinforce that the patient should not take
What is garlic.
Causes dilation of vessels and smooth muscle relaxation which increases urine flow and causes arterial and venous dilation, reducing peripheral vascular resistance and BP
Alpha1 Adrenergic Blockers or Antagonist - meds ending in (osin)
Labs to monitor for kidney function
What are :
BUN- elevated in renal failure
Creatinine- elevated in renal failure
K+ levels- elevated in renal failure, >5.0
First line hypertensive classifications.
What are:
–Diuretics (especially thiazide and thiazide-like diuretics, potassium-sparing diuretics)
–Angiotensin-converting enzyme (ACE) inhibitors
–Angiotensin receptor blockers (ARBs)
–Calcium channel blockers (CCBs)
Classification of meds with the following side effects bradycardia, hypotension, hypoglycemia, impotence, bronchial constriction (if non cardio-selective)
What are Beta Blockers- beta – adrenergic antagonist ending in “lol”