Week 5 Blood Pressure Medications 3 Flashcards

1
Q

Amlodipine

A

Norvasc

Cardiovascular

Antihypertensive

DHP CCB

Angina, High blood
pressure

peripheral edema, orthostatic hypotension, dizziness, lightheadedness

Simvastatin, diuretics
Lower dose in elderly, liver dysfunction

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2
Q

Amlodipine/Benazepril

A

Lotrel

Cardiovascular

Antihypertensive

DHP CCB/ACE-I

High blood pressure

Same as amlodipine plus
benazepril

see indiv. Drugs
see indiv drugs

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3
Q

Furosemide

A

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

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4
Q

Hydrochlorothiazide

A

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

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5
Q

Spironolactone

A

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

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6
Q

Triamterene/Hydrochlorothiazide

A
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
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7
Q

Potassium Chloride

A

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

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8
Q

I. Dihydropyridine (DHP) Calcium Channel Blockers (CCBs)

A

• 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

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9
Q

Loop Diuretics

• Patient Counseling

A

• 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

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10
Q

Thiazide Diuretics

• Patient Counseling

A

• 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)

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11
Q

Potassium-Sparring Diuretics

• Patient Counseling

A

• 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

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12
Q

IV. Potassium Chloride Supplementation

• Patient Counseling

A

• 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

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13
Q

Which of the following medications should be avoided in patients taking clonidine?

Carvedilol
Benazepril
Valsartan
Spironolactone

A

Carvedilol

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14
Q

Which of the following medications is a dihydropyridine calcium channel blocker?

Verapamil
Diltiazem
Carvedilol
Amlodipine

A

Amlodipine

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15
Q

Which of the following medications is most likely to cause constipation?

Lisinopril
Verapamil
Amlodipine
Clonidine

A

Verapamil

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16
Q

Which of the following is an example of a loop diuretic?

Furosemide
Hydrochlorothiazide
Spironolactone
Clonidine

A

Furosemide

17
Q

Which diuretic eventually lowers blood pressure through vasodilation instead diuresis?

Furosemide
Clonidine
Hydrochlorothiazide
Spironolactone

A

Hydrochlorothiazide

18
Q

What time of day should you counsel a patient to take a diuretic?

Morning
Before Meals
After Meals
Nighttime

A

Morning

19
Q

Which diuretic is the most likely to cause photosensitivity?

Hydrochlorothiazide
Furosemide
Clonidine
Spironolactone

A

Hydrochlorothiazide

20
Q

What dosage form of potassium is represented by K-Vescent®?

Extended Release Tablet
Solution
Extended Release Capsule
Packet

A

Packet

21
Q

Coronary

A

Heart

22
Q

Edema

A

Swelling

23
Q

Hypokalemia

A

Low potassium

24
Q

Photosensitivity

A

Rash from extreme sensitivity to sunlight

25
Q

Hyperkalemia

A

High potassium

26
Q

Orthostatic hypotension

A

Low blood pressure when standing up