Antihypertensives Flashcards
Diuretics
Increases urine output
Lowers BP
(1st Line of defense)
Types of Diuretics
Thiazide
Loop (Lasix)
Side effects of Diuretics
N/V/D
Dehydration or fluid overload
Renal failure
Nursing implications for Diuretics
- Monitor electrolytes
- Dont give at night
- I&Os and daily weight
Adrenergic Drugs
Lowers fight or flight (SNS) response
Lowers BP
Types of Adrenergic Drugs
- Alpha 2 Agonists
- Alpha 1 Blockers
- Beta Blockers
- Combo A1 & Beta Blockers
Alpha 2 Agonists
Adrenergic Drug
Ex: Clonidine, Methyldopa
Stimulates A2 receptors to lower SNS & Vasodilate
SNS
Fight or flight response
Alpha 1 Blockers ‘sin’
Adrenergic Drug
Ex: Doxazosin, prazosin
Blocks A1 receptors
Increases urine
Beta Blockers ‘lol’
Adrenergic Drug
Ex: Propranolol, metropolol
Lowers HR by blocking B1 receptors
Combo A1 & Beta Blockers
Adrenergic Drug
Ex: Labetalol, Carvedol
Lowers HR, Vasodilation
Side effects of Adrenergic Drugs
-Bradycardia
-Sexual dysfunction
-Dry mouth
-Edema
More adverse effects than other anti-HTN
Nursing implications of Adrenergic drugs
- May interact with psych drugs
- Some used to treat BPH
- Dont give beta blockers to patients with COPD or asthma
Ace Inhibitors ‘pril’
Blocks ACE (angiotension converting enzyme)
Blocks Na+ & H20 reabsorption
Blocks aldosterone
Increased urine, Lowers BP
Examples of ace inhibitors
Captopril, enalapril
Side effects of ace inhibitors
Dry cough
Headache
Nursing implications of Ace inhibitors
- Give 1 hr before meal
- Most are prodrugs (need to be converted by the liver)
- Assess creatinine labs for renal failure
ARBs
Blocks angiotension 2
Blocks Na+ & H20 reabsorption
Increased urine, Lowers BP