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Hypertension med
Question | Answer |
---|---|
Loop Diueretic Medication name | Furosemide, Lasix |
Ace Inhibitor Medication name | Catopril ("pril"), Capoten |
Vasodilator Medication name | Hydralazine, Apresoline |
Thiazide, Thiazide-like, loop diuertic Medication name | HTZ Hydrodiuril |
Angiotensin II Receptor Blocker (ARB) Medication name | Losartan, Cozaar |
When are ARBs used? | When ACE is not effective |
Beta Blocker Medication name | Atenolol ("lol"), tenormin |
Potassium Sparing Diurectic Medication name | Spriolactone, Aldactone |
Calcium Channel Blocker (CCB) Medication name | Amlodipine, Norvasc |
If left untreated HTN has serious risks for.. (5) | CAD, CVA, CHF, Renal Failure, PVD |
Action of Beta blockers | block receptors |
2 types of Beta blockers | Nonselective- smooth muscle of bronchioles and blood vessels, Cardioselective- heart |
Decreases occur depending on the type of beta-blocker such as: (4) | Peripheral vascular resistance, BP&HR, slows conduction, Myocardial O2 consumption |
Indications for Beta Blockers: (7) | HTN, angina, MI, Dysrhythmias, CHF, migraines, glaucoma |
Contraindications for Beta Blockes: (5) | allergy, shock, heart attack, bradycardia, asthma (slows things down, do not want to slow them even more) |
What do you want to check before giving a loop diuretic? | Potassium levels |
What is the action of loop diuretics? | Diuresis; block Cl and Na reabsorption in the Loop of Henle |
Loop Diurectics reduce: (2) | BP, Pulmonary and vascular resistance (reduce preload and edema) |
Adverse effects of Loop diuretics (2) | Hypokalemia and dehydration |
Action of Potassium- sparing diuretics | Weaker diuretic compared to loop and thiazides, work in collecting ducts & distal tubules, block reabsorption of Na & water, retain K |
Contraindications of potassium-sparing diuretics | allergy, hyerpkalemia and renal failure/anura |
Action of thiazide diuretics | work in distal tubules, inhibit the reabsorption of Na, K and Cl, Relax arterioles (decreased peripheral vasc resistance) |
Adverse effects of thiazide diuretics | Hypokalemia, elevated blood sugar, lipids, Ca & uric acid levels, HA, impotence, decreased libido |
Interactions of thiazide diuretics | altered effecs with corticosteroids, lithium, digoxin, NSAIDS, some oral DM meds |
Action of Vasodialators | Direct arterial/venous smooth muscle relaxation/vasodilation |
Contraindications of Vasodialators | allergy, hypotension, Central edema or head injury, acute MI |
Action of ACE ("pril") | CV and renal effects, decreased preload (diuresis), afterload (decreased resistance) so lessesns cardiac workload |
Adverse effects of ACE | fatigue, dzziness, HA, mood change & COUGH |
ACE interactions | NSAIDS(kidney failure), Lithium (toxicity), Oth HTN meds (hypotension), K supplements or K sparing diuretics (hyperkalemia) |