HTN DRUGS- Test 1 Flashcards
Thiazide diuretics inhibit
Sodium, chloride and water reabsorption in the distal tubules
Thiazide diuretics get rid of
Potassium
Bicarbonate
Magnesium
Thiazide diuretics do keep this
Calcium-helps prevent bone loss and kidney stones
Thiazide drug alert
Men have decreased libido
Caution with diabetics or those with
Hyponatremia
Loop diuretics
Inhibit sodium, chloride and water from being absorbed in ascending loop.
Promote potassium excretion
Loop diuretics not good for
Older adult
Potassium- sparing diuretics
Throws out sodium and water
KEEPS potassium
Foods high in potassium
Banana
Potatoes
Orange juice
Calcium channel blockers
Vasodilation
Interferes with flux of calcium ions
NO GRAPEFRUIT JUICE
Spironolactone
Potassium-sparing diuretics
Verapamil
Calcium channel blocker
Amlodipine
Calcium channel blocker
Enalapril
ACE inhibitor
Lisinopril
ACE inhibitor
Valsartan
ARB
Losartan
ARB
Eplerenone
Aldosterone receptor antagonist
Do not give beta blocker if
Systolic is below 100
Or pulse below 60
Use with caution for diabetics
Aliskiren
Renin inhibitors
ARB
Angiotensin II receptor blocker
ARB nursing intervention
Avoid foods high in potassium
Monitor BP
Check with HCP if systolic is below 100
Drug alert for thiazide and loop diuretics
Hypokalemia Leg cramping Weakness Irregular pulse Dysrhythmias
-pine
Calcium channel blocker
Drug alert for ACE inhibitor
Orthostatic hypotension
-sartan
ARBs
Angiotensin II receptor blockers
African Americans
Like ACEs, ARBs are not as effective unless taken with diuretics or another category- BB or CCB
Aldosterone
Mineralcorticoid
What aldosterone does
Increases sodium reabsorption
Side effects of aldosterone receptor antagonist
Hypertriglyceridemia
Hyponatremia
Hyperkalemia
NO GRAPEFRUIT
NO ST JOHNS WORT
NO NIZORAL
People with diabetes and beta blockers
May not have usual symptoms of hypoglycemia because sympathetic nervous system is blocked
