Hypertension medication considerations & HTN Dx
Lasix. Loop diarrhetic
Monitor for orthostatic hypotension and electrolyte animality. Drug remains effective despite renal insufficiency.
Sipironolactone (Aldactone). Diuretic
Monitor for orthostatic hypotension and hyperkalemia. Do not combined with potassium sparing diuretic or K-sparring supplements. Use caution with patients and Ace inhibitors or angiotensin II blocker. These drugs are also classified as potassium sparing diuretic
Sudden discontinuation may cause withdrawal syndrome, includes rebound hypertension, tachycardia, headache, tremors, apprehension, sweating. Chewing gum or hard candy may relieve dry mouth. Alcohol and sedatives increased sedation. Transdermal patch may be related to fewer side effects and better adherence
Adrenergic blocker. Catapres. Aldomet
Causes daytime sedation.
Administration of a single daily dose at bedtime minimizes sedative effect
Reduced resistance to the outflow of urine in benign prosthetic hyperplasia. Taking drug bed time reduces risk associated with orthostatic hypotension
B -adrenergic selective beta adrenergic blocker.
Monitor pulse and blood pressure regularly. Uses caution in patients with diabetes mellitus because drug made to press the tachyCardia associated with hypoglycemia.
Nonselective adrenergic B-blocker
May cause bronchospasms, especially in patients with a history of asthma
Ace inhibitors. -pril
Cause irritating dry cough
Ace inhibitor. -pril
Aspirin and anay ideas may reduce drug effect. Addition of diuretic enhances drug effect. Shoul3d not be used with potassium sparing diuretics. Inhibit breakdown of Bradykinin, which may cause a dry hacking cough.
May be given orally for hypertensive crisis
Angiotensin II receptor blocker ARB. -sartan
Full effect blood-pressure may not be seen for 3-6 weeks.
Do not affect Bradykinin levels.
Therefore acceptable alternative to ace inhibitor in pts who develop dry cough
Ca Channel Blocker. Procardia. Norvasc
Use caution in patients with heart failure. Drug may be increased by grapefruit juice; avoid concurrent use. Used for supraventricular tachydysrhythmias. Avoid in patients with second or third degree AV block or left ventricular systolic dysfunction
Stage 1 HTN doc will always start with?
Do not abruptly stop taking can precipitate angina or HF
Change positions slow causes orthostatic hypotension
Can cause drowsiness
Rebound HTN if abruptly stopped
Monitor for the static hypotension, hypokalemia, alkalosis. Drug may potentiate cardiotoxicity Causing hypoK. Na restriction reduces risk of hypokalemia. NSAIDs decrease diuretic and antihypertensive effect of drug. Use K -rich foods
Will cause impotence or erectile dysfunction
Work on kidneys to decrease Na and cause you to pee it out
Ca channel blockers
Work on muscle
Work on the heart itself
Non selective beta blocker
Dry irritating cough
Drug of choice HTN CRISIS (lecture)
Need to check BP before giving
Serum lipid profile
Dysrhythmias, MI, chest pain, Ischemia
blood disease process, diabetes
Urinary Albumin Excretion
size & shape of heart
cause sedation give at bedtime
Nitropress, Normadine, labudolol
Drug of choid to treat HTN crisis