Class
This class of drugs ends in -PRIL and are used for HTN and heart failure (HF) such as lisinopril. Can cause angioedema.
What are ACE Inhibitors?
This is a common complication in all antihypertensive medications.
What is orthostatic hypotension?
Systolic Blood pressure less than 90-100 and HR less than 60.
What is hold Antihypertensive (or any drug that can lower b/p and HR) and notify the provider?
Drugs in this diuretic class are used for heart failure and HTN and can cause increased potassium levels.
What are potassium sparing diuretics like spironolactone?
Mango, prune juice, bananas, black beans, potatoes, asparagus, Brussel sprouts.
What is high in potassium.
This class of drugs ends in -ARTAN and are used for HTN and heart failure (HF) such as losartan. Usually used when there is an intolerance to an ACE inhibitor.
What are Angiotensin II Receptor Blockers?
Tell the patient to report severe or new muscle aches, or changes in urine color (tea).
What is a Statin (HMG-CoA reductase inhibitors) that is used for hyperlipidemia.
This fruit interacts with several antihypertensive medications.
What is grapefruit?
Decreases urinary burning and pain in a urinary track infection (UTI) and can cause orang-red color urine. Does not treat the bacterial infection.
What is phenazopyridine?
The drug that should not be given concurrently with spironolactone.
What is an ACE-inhibitor and potassium?
This class of drugs can cause swelling in the legs and can be sign of fluid retention. Used for dysthymias and HTN.
What are Calcium Channel Blockers?
Patients should not combine drugs in this class with erectile dysfunction agents because serious hypotension and CV events may occur.
What are Nitrates (e.g. nitroglycerin)?
Can cause hyperkalemia. 3 answers.
What are ACE's, ARB's, and potassium sparing diuretics?
Lowers blood LDL levels by slowing liver liver production of cholesterol. They do not remove dietary cholesterol from the blood.
What is HMG-CoA reductase inhibitors (statin)?
When taking this drug, teach patient how to accurately weight at home and report to provider if 2-3lb weight gain in one day or several pounds (5 lbs.) in one week, especially along with dyspnea.
What are diuretics?
Causes vasodilation by relaxing vascular smooth muscle and cause profound hypotension such as nitroglycerin used for chest pain.
What are nitrates?
This drug class can cause mask hypoglycemia symptoms and should be used carefully in diabetics.
What is a beta blocker?
Angioedema: Adverse effect
Cough: Side effect
What is an ACE inhibitor?
Can decrease chest pain (angina) by taking sublingual every 5 minutes x3. Call 911 after the first dose.
What is nitroglycerin?
Obtaining an apical pulse is the priority nursing intervention prior to administering this drug.
What is digoxin (cardiac glycoside)?
This class ends in -LOL like metoprolol. Used for HTN, dysrhythmias, heart failure, and post myocardial infarctions to reduce the workload of the heart.
What are Beta Blockers?
The signs and symptoms of digoxin toxicity and the antidote.
What is anorexia, N/V, visual changes, cardiac dysrhythmias, bradycardia; and digoxin immune Fab (DigiFab)?
Most common side effect is decreased interest in sexual activity, dizziness, and hypotension. This drug relaxes the smooth muscle tissue in the prostrate.
What is tamsulosin (Flomax) used for benign prostatic hyperplasia (BPH)?
Increase urinary output by blocking active transport of sodium, chloride, and potassium in the ascending loop of Henle. Usually first choice for heart failure, because they are more potent (effective) than the other diuretics.
What are loop diuretics?
Always check b/p and potassium levels before giving.
Garlic supplements can increase effects and black licorice can decrease effects.
What are anti-hypertensives?