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antihypertensives

Nursing pharm, drug category by key points

QuestionAnswer
Captopril/ capoten, enalapril/ vasotec, zestril, prinivil, lotensin, altace, - prils ACE: arteries, peripheral dilation causing hypoTN, gastric irritation, give 1h ac or 3h pc. Combine w thiazide diuretics. Assess for cough
atenolol, propranolol, lopressor, coreg, tenormin, -lol Beta: beats, decrease excitability/ O2 consumption, slows HR. Assess for bronchospasm, blood sugar masking. bradycardia, blacks (not effective). take w meals, taper
nifedipine/ procardia, verapamil/ calan, cardizem, norvasc, plendil, - -ipine CCB: Cardio = slows HR, calcium inhibited, consume less energy, softens contraction, coronaries dilate, Conduction slows. no grapefruit juice. Hold if BP <90/60
Candesartan/ atacand, eprosartan/ Tevetan, Irbesartan/ Avapro, Losartan/ Cozaar, Valsartan/ Diovan - artan ARBS: vasodilator, angioedema,
Doxazosin/ cardura, Prazosin/ minipress, Terazosin/ Hytrin - osin Antihypertensives alpha 1 adrenergic blocks: affects peripheral system, nasal congestion, reflex tachycardia, admin 1st dose at hs to avoid fainting, asses wt, BUN, Cr
Clonidine/ Catapres, Methyldopa/ aldomet antihypertensive, centrally acting alpha adrenergic: decreases HR, decreases force of contraction drowsiness, sedation,
Hydralazine/ apresoline, minoxidil antihypertensive, direct acting vasodilator: vesicular vasodilators, tachycardia, hold if HR <60. Minoxidil used for hair loss
Created by: vickyv