Antihypertensives Flashcards

1
Q

Diuretics

A

Increases urine output
Lowers BP
(1st Line of defense)

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2
Q

Types of Diuretics

A

Thiazide

Loop (Lasix)

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3
Q

Side effects of Diuretics

A

N/V/D
Dehydration or fluid overload
Renal failure

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4
Q

Nursing implications for Diuretics

A
  • Monitor electrolytes
  • Dont give at night
  • I&Os and daily weight
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5
Q

Adrenergic Drugs

A

Lowers fight or flight (SNS) response

Lowers BP

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6
Q

Types of Adrenergic Drugs

A
  • Alpha 2 Agonists
  • Alpha 1 Blockers
  • Beta Blockers
  • Combo A1 & Beta Blockers
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7
Q

Alpha 2 Agonists

A

Adrenergic Drug
Ex: Clonidine, Methyldopa
Stimulates A2 receptors to lower SNS & Vasodilate

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8
Q

SNS

A

Fight or flight response

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9
Q

Alpha 1 Blockers ‘sin’

A

Adrenergic Drug
Ex: Doxazosin, prazosin
Blocks A1 receptors
Increases urine

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10
Q

Beta Blockers ‘lol’

A

Adrenergic Drug
Ex: Propranolol, metropolol
Lowers HR by blocking B1 receptors

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11
Q

Combo A1 & Beta Blockers

A

Adrenergic Drug
Ex: Labetalol, Carvedol
Lowers HR, Vasodilation

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12
Q

Side effects of Adrenergic Drugs

A

-Bradycardia
-Sexual dysfunction
-Dry mouth
-Edema
More adverse effects than other anti-HTN

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13
Q

Nursing implications of Adrenergic drugs

A
  • May interact with psych drugs
  • Some used to treat BPH
  • Dont give beta blockers to patients with COPD or asthma
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14
Q

Ace Inhibitors ‘pril’

A

Blocks ACE (angiotension converting enzyme)
Blocks Na+ & H20 reabsorption
Blocks aldosterone
Increased urine, Lowers BP

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15
Q

Examples of ace inhibitors

A

Captopril, enalapril

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16
Q

Side effects of ace inhibitors

A

Dry cough

Headache

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17
Q

Nursing implications of Ace inhibitors

A
  • Give 1 hr before meal
  • Most are prodrugs (need to be converted by the liver)
  • Assess creatinine labs for renal failure
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18
Q

ARBs

A

Blocks angiotension 2
Blocks Na+ & H20 reabsorption
Increased urine, Lowers BP

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19
Q

Side effects of ARBs

A

Chest pain
Dry mouth
Fatigue

20
Q

Nursing implications of ARBs

A

Similar to ACE inhibitors

NOT kidney protective

21
Q

Calcium Channel Blockers (CCB’s)

A
Blocks calcium receptors
Lowers smooth muscle tone
Lowers BP
Treats angina and HTN
Dilates arteries=bloodflow to heart
22
Q

Side effects of CCBs

A

Headaches
Fatigue
Dsyrhythmias

23
Q

Nursing Implications of CCBs

A

Treat agina & HTN
Raynauds disease
Cerebral artery spasms

24
Q

What do hypertensives treat?

A

High blood pressure

25
Q

What does Vasoconstriction cause?

A

High BP

26
Q

What does Vasodilation cause?

A

Low BP

27
Q

Cardiac output

A

Amount of blood pumped by ventricle in 1 min

28
Q

Which population is at highest risk for hypertension?

A

African american males

29
Q

Stage 1 hypertension

A

130-139/80-89

30
Q

Stage 2 hypertension

A

> 140/90

31
Q

Glomerular filtration rate

A

Volume of blood that passes through kidney/glomerulus in 1 minute
Tells alot about kidney function, fluid balance, and indication of cardiac output

32
Q

Diuretics promotes..

A

Sodium and water excretion from the body

33
Q

Patient teaching regarding diuretics

A

Do not take hot showers
Take in morning
Take potassium supplement
Foods high in potassium

34
Q

Important to assess pulse before giving this med

A

Beta blockers

35
Q

Autonomic nervous system

A

Involuntary; Body does this on its own

36
Q

Smooth muscle relaxes

A

Lowered BP

37
Q

Smooth muscle contraction

A

Raised BP

38
Q

Parasympathetic nervous system (PNS)

A

Stimulates smooth muscle, cardiac muscle, glands

39
Q

Sympathetic nervous system (SNS)

A

Stimulates the heart, blood vessels, skeletal muscle

40
Q

Used as last resort, unwanted side effects

A

Adrenergic drugs

clonidine and methyldopa

41
Q

Ace inhibitors cause..

A

Aldosterone to not be secreted

42
Q

Someone with liver dysfunction CANNOT have..

A

Prodrug

because they are converted by liver

43
Q

Patients with liver dysfunction should be on…

A

ACE inhibitors

44
Q

Which class of antihypertensives does not cause a dry cough

A

ARBs

Angiotensin II receptor blockers

45
Q

Angina

A

Chest pain