Week 3 Blood Pressure Medications 1 Flashcards
Benazepril
Lotensin
Cardiovascular
Antihypertensive
ACE-I
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, dry cough, Inc Scr, Inc K+
NSAID, ARB, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Irbesartan
Avapro
Cardiovascular
Antihypertensive
ARB
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Irbesartan/HCTZ
Avalide
Cardiovascular
Antihypertensive/Diuretic Combination
ARB + diuretic
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Lisinopril
Zestril, Prinvil
Cardiovascular
Antihypertensive
ACE-I
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, dry cough, Inc Scr, Inc K+
NSAID, ARB, K+
supplements
Pregnancy, dehydration, kidney dx, K+
Lisinopril/Hydrochlorothiazide
Zestoretic
Prinizide
Cardiovascular
Antihypertensive/Diuretic Combination
ACE-I + diuretic
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, dry cough, Inc Scr, Inc K+
NSAID, ARB, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Losartan
Cozaar
Cardiovascular
Antihypertensive
ARB
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Losartan/HCTZ
Hyzaar
Cardiovascular
Antihypertensive/Diuretic Combination
ARB + diuretic
High blood pressure; heart failure; post heart attack;
kidney protection in diabetes
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Olmesartan
Benicar
Cardiovascular
Antihypertensive
ARB
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Olmesartan/HCTZ
Benicar HCT
Cardiovascular
Antihypertensive/Diuretic Combination
ARB + diuretic
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Pregnancy, dehydration, kidney dx, K+
Ramipril
Altace
Cardiovascular
Antihypertensive
ACE-I
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, dry cough, Inc Scr, Inc K+
NSAID, ARB, K+
supplements
Pregnancy, dehydration, kidney dx, K+
Valsartan
Diovan
Cardiovascular
Antihypertensive
ARB
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Valsartan/Hydrochlorothiazide
Diovan HCT
Cardiovascular
Antihypertensive/Diuretic Combination
ARB + diuretic
High blood pressure; heart failure; post heart attack; kidney protection in diabetes
Low BP, angioedema, Inc Scr, Inc K+
NSAID, ACE, K+ supplements
Pregnancy, dehydration, kidney dx, K+
Enalapril
Vasotec IV form available (enalaprilat) Cardiovascular Antihypertensive ACE-I High blood pressure; heart failure; post heart attack; kidney protection in diabetes Low BP, angioedema, dry cough, Inc Scr, Inc K+ NSAID, ARB, K+ supplements Pregnancy, dehydration, kidney dx, K+
• Patient Counseling Points
o Counsel patients on signs of dry, hacky cough
ACE-I can cause a chronic cough due to mechanism switch to ARB
o Counsel women of child-bearing age about risk of fetal harm and importance of contraception
o Counsel patients on signs and symptoms of angioedema
Most prevalent with ACE-I, can occur with ARB
Go to emergency room/contact physician IMMEDIATELY
o Carefully monitor potassium intake (e.g. bananas, potatoes, salt substitutes such as Mrs. Dash)
Hypertension
Hypertension High blood pressure
Systolic blood pressure
Blood pressure when heart is beating
Diastolic blood pressure
Diastolic blood pressure Blood pressure when heart is resting
Dilate
Relax/Open
Hypotension
Low blood pressure
Angioedema
Allergic reaction with swelling of tongue/lips
Renal
Kidney
Hepatic
Liver
Nephropathy
Kidney disease
Myocardial Infarction
Heart attack
Which of the following is an ACE-I? A. metoprolol B. hydrochlorothiazide C. enalapril D. amlodipine
C. enalapril
HCTZ is an abbreviation for which medication? A. hydrocodone B. hydralazine C. hydrochlorothiazide
C. hydrochlorothiazide
Which side effect of ACE-I/ARB medications requires IMMEDIATE attention? A. Dry cough B. Angioedema C. Fatigue
B. Angioedema
Which of the following medications would be LEAST likely to cause dry cough? A. enalapril B. lisinopril C. valsartan
C. valsartan
Lisinopril and losartan can be taken
together….
A. True
B. False
B. False
