HTN Flashcards
Action of ACE inhibitor
Inhibits renin-angiotensin-aldosterone mechanism by blocking conversion of angiotensin I to angiotensin II, which prevents peripheral vasoconstriction and reduces blood volume. Also used to treat HTN
Memory aid for ACE inhibitor
always end in -pril
Name ACE inhibitor (Angiotensin-converting enzyme)
Lisinopril (zestril, prinivil)
Enalapril (Vasotec)
Benazepril (Lotensin)
Captopril (Capoten)
Nursing consideration for ACE inhibitors
Monitor BPPeripheral edemaPersistent dry cough is side effect and doesn’t not indicate respiratory disease or infection. The
Name ARBs (Angiotensin II Receptor Blocker)
Valsartan (Diovan)
Losartan (Cozaar)
Memory aid for ARBs
always end with -sartan
Action of ARBs
Blocks vasoconstriction and aldosterone-secretion effects of angiotensin II at receptor site.Lowers BPDecreases risk for heart failure.
Nursing consideration for ARBs
Monitor BPMonitor for hypotension, especially clients who take diureticsAvoid salt substitutes because of Potassium
Name Beta Blockers
Carvedilol (Coreg)
Memory aid for Beta Blockers
Always end with -olol or -lol
Action of Beta blockers
Blocks beta1 adrenergic receptor (blocks beta2 in lungs if dose is high enough) found in cardiac muscle.Decreases HTN
Name a Vasodilator
Hydralazine (Apresoline)
Action of a vasodilator
Acts directly on arterial smooth muscle to cause vasodilation.Decrease HTN
Name Diuretic
Furosemide (Lasix)
Action of a diuretic
Increases renal excretion of water and other electrolytes
Decreases BP, edema