second line antihypertensives Flashcards
what are the second line antihypertensives? 7
loop diuretics
k sparing diuretics
beta blockers
DRI
alpha1 blockers
alpha2 blockers
direct vasodilators
what are the loop diuretic meds?
furosemide
bumetanide
torsemide
what condition are loop diuretics reserved for?
renal insufficiency
loop diuretics have cross sensitivity with?
sulfa
loop diuretic AEs?
HYPOKALEMIA/NATREMIA
glucose intolerance
postural hypotention
phototoxicity
hyperuricemia
hypocalcemia
ototoxicity
hypomagnesemia
what are K sparing diuretics?
spironolactone
amiloride
triamterene
common K sparing diuretic AEs?
hyperkalemia
K sparing diuretics should be used with caution with what?
ace-i
arbs
dri
what condition should k sparing diuretic be used with caution?
renal insufficiency
significant CKD
beta blockers AEs?
bradycardia
dizziness
bronchial constriction
fatigue
insomnia/bizarre dreams
DEPRESSION
sexual dysfunction
postural hypotension
increase TG
what are the antihypertensive for pregnant women?
methyldopa
labetalol
what antihypertensives cannot be used in elderly?
alpha2 agonists
has CNS effects
what is a special precaution with BB in regards to glycemic control?
BB may mask signs and symptoms of hypoglycemia which makes correction more difficult
