Blood Pressure Meds Flashcards

1
Q

How long should a Patient sit before a nurse checks their Blood Pressure?

A

5 minutes.

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2
Q

Hypertension is defined as?

A
  • A systolic pressure >130 mmHg,
    or
    diastolic pressure >80 mmHg.
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3
Q

What are the secondary causes of Hypertension?

A
  • Obstructive sleep apnea.
  • Kidney disease.
  • Hyperthyroidism.
  • Some Medications
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4
Q

What happened if Hypertension is left untreated. it causes?

A
  • Heart disease.
  • Kidney disease.
  • Stroke.
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5
Q

What is the most common symptom of Hypertension?

A

Headache

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6
Q

How can we reduce the Blood pressure in the body of a Hypertensive Patient?

A
  • By decreasing the amount of fluids in the bloodstream.

(By taking Diuretics)

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7
Q

How do Diuretics work?

A
  • They relieve the pressure of Hypertension by increasing the urine production.
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8
Q

Which is the First-line therapy of Hypertension?

A

(Thiazide-type diuretics).

  • Hydrochlorothiazide
  • Chlorthalidone
  • The are Potassium wasting (the loose potassium).
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9
Q

What are the different examples of Diuretics?

A
  • Furosemide.
  • Chlorthalidone.
  • Hydrochlorothiazide.
  • Mannitol.
  • Spironolactone.
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10
Q

Diuretics are used to treat?

A
  • Hypertension.
  • Heart failure.
  • Edema (Peripheral & Pulmonary)
  • Cerebral edema due to head trauma (Mannitol)
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11
Q

Furosemide works in which part of the kidney?

A
  • Ascending loop of Henle.
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12
Q

Furosemide is often refered as?

A

Loop Diuretic.

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13
Q

High yielding concepts of Diuretics?

A
  • Hypotension
  • Hypokalemia (Muscle cramps, Dysrhythmias, fatigue)
  • Electrolytes imbalance.
  • Nocturia
  • Dehydration.
  • Can cause hearing loss (Furosemide).
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14
Q

Which foods are rich in Potassium.

A
  • Bananas.
  • Winter squash.
  • Sweet potatoes.
  • Baked potatoes.
  • White beans.
  • Yogurt.
  • Orange juice.
  • Broccoli.
  • Cantaloupe.
  • Spinach.
  • Tomatoes.
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15
Q

Facts about Spironolactone?

A
  • Its a weak diuretic.
  • Its a Potassium sparing diuretic (prevents the loss of potassium).
  • They Pt should go easy on potassium and avoid salt substitutes.
  • Monitor the Pt for signs of Hyperkalemia.
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16
Q

Facts about Mannitol?

A
  • Its used to treat head trauma.
  • Its not used for hypertension - (just for Cerebral edema & stroke).
  • Keep in a warm temperature room - (To prevent crystal formation).
17
Q

Facts about Hydrochlorothiazide (HCTZ) & Chlorthalidone?

A
  • Its cheap.
  • Its safe.
  • Its effective.
  • Monitor for signs for hypokalemia
  • Its the first-line treatment for hypertension.
18
Q

Examples of Beta-Blockers?

A

(they end with “lol”)

(Cardioselective Agents) - they work in the heart
- Atenolol
- Metoprolol

(Nonselective Agents) - they block alot of receptors
- Carvedilol
- Labetalol
- Propranolol

19
Q

Facts about the Carvedilol & Labetalol?

A
  • They block the:-
    * alpha1
    * beta 1
    * beta 2 receptors
20
Q

The Beta-blockers are commonly prescribed for?

A
  • Hypertension.
  • Angina pectoris.
  • Atrial Fibrillation.
  • Cardioprotection following a heart attack (they prevent scarrying formation).
21
Q

Alpha1 receptors are located in the_____________?

A

Arteries

22
Q

Beta1 receptors are located in the_____________?

A

Heart

23
Q

Beta2 receptors are located in the_____________?

A

Lungs

24
Q

High yield concepts of Beta-blockers?

A
  • Hypotension
  • Bradycardia
  • Blood sugar regulation - (check the blood sugar often)
  • Bronchoconstriction
  • Depression (propranolol)
  • Erectile dysfunction (in men)
25
Q

What should the Nurse assess first before giving a Beta-blocker?

A
  • Heart rate - (hold if less that 50)
  • Blood pressure - (hold if less than 100)
26
Q

Examples of ACE inhibitors (Angiotensin-Converting Enzyme)?

A

(They end with the “pril”)

  • Benazepril
  • Lisinopril
  • Ramipril
27
Q

The ACE inhibitors are commonly prescribed for?

A
  • Hypertension.
  • Heart failure
  • Cardioprotection following a heart attack - (they prevent scarrying formation).
28
Q

Angiotensin-II causes?

A
  • Vascular smooth muscle to contract.
  • High levels of Aldosterone that causes harmful changes in the heart muscles.
  • The release of the Aldosterone hormone by triggering the receptors in the adrenal gland.
29
Q

High yield concepts of ACE inhibitors?

A
  • Hypotension
  • Hyperkalemia
  • Persistent dry cough
  • Angioedema - (swollen face, eyes,troat, lips & tongue)
30
Q

Examples of ARBs (Angiotensin II Receptor Blockers)

A

(They end with “Sartan”)

  • Losartan
  • Olmesartan
  • Valsartan
31
Q

The ARBs (Angiotensin II Receptor Blockers) are commonly prescribed for?

A
  • Hypertension.
  • Heart failure
  • Slow progression of CKD (chronic kidney disease)
  • Cardioprotection following a heart attack - (they prevent scarrying formation).
32
Q

High yield concepts of ARBs (Angiotensin II Receptor Blockers)

A
  • Hypotension
  • Angioedema
  • Hypokalemia (they excrete alot of Na+ and water)
  • They are cheaper
33
Q

Examples of CCBs (Calcium Channel Blockers)

A

(Dihydropyridines) - they end with “dipine”
- Amlodipine
- Nifedipine

(Nondihydropyridines) - they cause Bradycardia
- Diltiazem
- Verapamil

34
Q

Facts about the Nondihydropyridines (Calcium Channel Blockers)?

A
  • They cause Bradycardia
  • Pt taking these should avoid grape-fruit juice
35
Q

The CCBs (Calcium Channel Blockers) are commonly prescribed for?

A
  • Hypertension.
  • Angina pectoris (chest pain)
  • Atrial Fibrillation.
36
Q

High yield concepts of CCBs (Calcium Channel Blockers)

A
  • Hypotension
  • Vasodilation
  • Peripheral Edema
  • Bradycardia
  • Constipation (Verapamil)
37
Q

Facts about Hydralazine?

A
  • Its a Blood pressure medication
  • Its prescribed for hypertension
  • Can be combined with other antihypertensive meds
  • It has a short half life and requires frequent doses
38
Q

High yield concepts of Hydralazine?

A
  • Hypotension
  • Lightheadedness or dizziness
  • They work too well.