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