Week 5 Blood Pressure Medications 3 Flashcards
Amlodipine
Norvasc
Cardiovascular
Antihypertensive
DHP CCB
Angina, High blood
pressure
peripheral edema, orthostatic hypotension, dizziness, lightheadedness
Simvastatin, diuretics
Lower dose in elderly, liver dysfunction
Amlodipine/Benazepril
Lotrel
Cardiovascular
Antihypertensive
DHP CCB/ACE-I
High blood pressure
Same as amlodipine plus
benazepril
see indiv. Drugs
see indiv drugs
Furosemide
Lasix
Cardiovascular
Diuretic
Loop Diuretic
Edema, High blood pressure
photosensitivity, hypokalemia, dehydration, dizziness, elevated Uric Acid
NSAIDs
Fluid/electrolyte loss, kidney dysfunction/lack of urine production, sulfa allergy
Hydrochlorothiazide
Microzide
Cardiovascular
Diuretic
Thiazide Diuretic
Edema, High blood pressure
photosensitivity, hypokalemia, elevated uric acid, elevated blood sugar, dizziness
NSAIDs
Gout: >25 mg dose, kidney dysfunction/lack of urine production, sulfa allergy
Spironolactone
Aldactone
Cardiovascular
Diuretic
Potassium Sparring Diuretic
Edema, High blood pressure, heart failure, low potassium
hyperkalemia, gynecomastia, impotence, irregular menses
potassium supplements, ACE-I, ARB
precaution: kidney dysfunction/electrolyte abnormalities
Triamterene/Hydrochlorothiazide
Dyazide Maxzide Cardiovascular Diuretic Combination Potassium Sparring Diuretic Edema, high blood pressure hyperkalemia potassium supplements, ACE-I, ARB BBW: fatal hyperkalemia, precaution in kidney dysfunction/electrolyte abnormalities; CI: potassium supplementation
Potassium Chloride
Klor-Con, K-Sol, K-tab
Micro-K
Supplement
Electrolyte
Electrolyte Supplement
Prevention and treatment of hypokalemia
GI (N/V/D); Hyperkalemia; Cardiac conduction issues
ACE-I; ARB; Potassium sparing diuretics; Mrs. Dash
CI: Patients with hyperkalemia; Gi delay/immobility
I. Dihydropyridine (DHP) Calcium Channel Blockers (CCBs)
• Patient Counseling Points
o Do not stop therapy abruptly
o Counsel on signs and symptoms of swelling
Contact pharmacist or primary care provider
o Counsel on signs of low blood pressure
Focus on orthostatic (when moving from sitting to standing position) hypotension
Loop Diuretics
• Patient Counseling
• Patient Counseling
o Will cause patients to pee (significant change)
avoid at bedtime
o Watch for dehydration
o Caution when moving from a sitting to a standing position
Thiazide Diuretics
• Patient Counseling
• Patient Counseling
o The diuretic effect (water loss, peeing) usually wears off at 30 days of use
o Take first thing in the morning
o Caution in spending time outdoors (sun sensitivity)
Potassium-Sparring Diuretics
• Patient Counseling
• Patient Counseling
o Counsel patient regarding signs and symptoms of dehydration and low blood pressure
o Counsel patient about minimizing potassium intake through supplements and dietary products (i.e. Mrs. Dash) without provider knowledge
IV. Potassium Chloride Supplementation
• Patient Counseling
• Patient Counseling
o Take each dose with a meal and a full glass of water to minimize GI irritation
o SR dosage forms should not be crushed
o Many dosage forms contain a wax matrix that can be seen in stool
o Capsules can be opened and sprinkled on applesauce or pudding
Which of the following medications should be avoided in patients taking clonidine?
Carvedilol
Benazepril
Valsartan
Spironolactone
Carvedilol
Which of the following medications is a dihydropyridine calcium channel blocker?
Verapamil
Diltiazem
Carvedilol
Amlodipine
Amlodipine
Which of the following medications is most likely to cause constipation?
Lisinopril
Verapamil
Amlodipine
Clonidine
Verapamil
Which of the following is an example of a loop diuretic?
Furosemide
Hydrochlorothiazide
Spironolactone
Clonidine
Furosemide
Which diuretic eventually lowers blood pressure through vasodilation instead diuresis?
Furosemide
Clonidine
Hydrochlorothiazide
Spironolactone
Hydrochlorothiazide
What time of day should you counsel a patient to take a diuretic?
Morning
Before Meals
After Meals
Nighttime
Morning
Which diuretic is the most likely to cause photosensitivity?
Hydrochlorothiazide
Furosemide
Clonidine
Spironolactone
Hydrochlorothiazide
What dosage form of potassium is represented by K-Vescent®?
Extended Release Tablet
Solution
Extended Release Capsule
Packet
Packet
Coronary
Heart
Edema
Swelling
Hypokalemia
Low potassium
Photosensitivity
Rash from extreme sensitivity to sunlight
Hyperkalemia
High potassium
Orthostatic hypotension
Low blood pressure when standing up
