Week 3 Blood Pressure Medications 1 Flashcards by ShinHae Yoon

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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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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+

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• 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)

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Hypertension

Hypertension High blood pressure

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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