Week 4 Blood Pressure Medications 2

Question 1

Atenolol

Answer 1

Tenormin

PO (FYI also IV)

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR; non DHP CCBs, amiodarone, clonidine, digoxin

BBW: Abrupt
discontinuation, Pre/Cont: Liver/Kidney dysfunction, asthma, COPD

Question 2

Carvedilol

Answer 2

Coreg

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia, Heart Failure

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR (see notes)

BBW: Abrupt discontinuation, Pre/Cont: Liver/Kidney dysfunction, asthma, COPD

Question 3

Metoprolol succinate

Answer 3

Toprol XL

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia, Heart Failure

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR (see notes)

BBW: Abrupt discontinuation, Pre/Cont: Liver/Kidney dysfunction, asthma, COPD

Question 4

Metoprolol Tartrate

Answer 4

Lopressor

PO (FYI also IV)

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR (see notes)

BBW: Abrupt
discontinuation, Pre/Cont: Liver/Kidney dysfunction, asthma, COPD

Question 5

Nebivolol

Answer 5

Bystolic

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR (see notes)

BBW: Abrupt discontinuation, Pre/Cont: Liver/Kidney dysfunction, asthma, COPD

Question 6

Propranolol

Answer 6

Inderal LA
Inderal XL

PO (FYI also IV)

Cardiovascular

Antihypertensive

Beta Blocker

High BP, Angina, Post MI, Arrhythmia, Essential Tremor, Migraine Prophylaxis

Low HR, Low BP, Fatigue, Decreased sexual ability, worseing Heart failure, shortness of breath

Antidiabetic agents (mask hypoglycemia), Medications that lower HR (see notes)

Question 7

Verapamil

Answer 7

Calan, Calan SR
Verelan
PO (FYI also IV)
Cardiovascular
Antihypertensive/Antiarrhythmic
non-DHP Calcium Channel Blocker
High BP, Angina, Arrhythmia
Low HR, Low BP, Constipation, Gingivial Overgrowth
Medications that lower HR (see notes), carbamazepine, statins (see notes)

Question 8

Diltiazem

Answer 8

Cardiazem, Cardiazem CD, Cardiazem LA
Cartia

PO (FYI also IV)

Cardiovascular

Antihypertensive/Antiarrhythmic
non-DHP Calcium Channel Blocker

High BP, Angina, Arrhythmia

Low HR, Low BP, Constipation, Gingivial Overgrowth

Medications that lower HR (see notes), carbamazepine, statins (see notes)

No BBW, liver/kidney
dysfunction, abnormal heart conduction, heart failure

Question 9

Clonidine

Answer 9

Catapres

PO (IR, ER), patch, IV

Cardiovascular

Antihypertensive

Alpha 2 agonist

High blood pressure
patch: skin irritation; all: orthostatic hypotension, drowsiness, headache, dry mouth, low HR

CNS depressants, BB, alcohol

IV must be diluted, rebound HTN, sedation

Question 10

• Beta Blocker: • Patient Counseling Points

Answer 10

o Patients should be made aware that they will experience fatigue
 will resolve after 2-4weeks
o Patients should be counseled to not abruptly discontinue therapy
 Discuss associated risks
 Counsel on signs and symptoms of low BP and low HR
• call pharmacist or MD if experience
o Counsel patients with diabetes, asthma, or COPD about precautions with associated disease

Question 11

II. Non-DHP (nondihydropyridine) Calcium Channel Blockers (CCBs)
• Patient Counseling Points

Answer 11

o Sustained release formulations should be taken with food or milk
 Do not crush
 Capsule contents can be sprinkled on food
o Counsel patients about likelihood of constipation
o Counsel patients about signs of low blood pressure
o Clinical Pearl: titrate dose every 7days due to delayed effects

Question 12

III. Alpha-2 Adrenergic Agonists

Answer 12

• Patient Counseling Points

o Patches should not be cut

Question 13

Which of the following is an example of an beta blocker?

A. ramipril
B. amlodipine
C. verapamil
D. carvedilol

Answer 13

D. carvedilol

Question 14

Which type of beta blocker would patients experience more adverse effects with?
A. Selective
B. Non-Selective

Answer 14

B. Non-Selective

Question 15

Beta blockers will have which of	the	
following suffixes?
A. pril
B. sartan
C. olol
D. semide

Answer 15

C. olol

Question 16

Beta blockers should be cautiously used in patients with….
A. High	cholesterol
B. Diabetes
C. History of heart attack
D. Heart failure

Answer 16

B. Diabetes

Question 17

Thinking about how non-DHP CCBs and BBs lower blood pressure, do you think they should be used together?
A. Yes
B. No

Answer 17

B. No

Question 18

Angina

Answer 18

Chest pain

Question 19

Myocardial infarction (MI)

Answer 19

Heart attack

Question 20

Arrhythmia

Answer 20

Abnormal heart rhythm

Question 21

Hypertension

Answer 21

High blood pressure

Question 22

Hypotension

Answer 22

Low blood pressure

Question 23

Brandycardia

Answer 23

Slow heart rate

Question 24

Fatigue

Answer 24

Extremely tiredness

Question 25

Gingival overgrowth

Answer 25

Gums overgrowth