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Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Classification
Med
Use of med
SE
Important
Avoid K+ ACE inhibitors   “Pril” drugs   Prevent conversion of angiotensin 1 to angiotensin ll. Prevents vasoconstriction   Dry persistent cough Changes in taste Dizziness Fatigue   NSAIDs/aspirin decrease effectiveness African Americans do not respond well Do not use wit k+ sparing diuretic Avoid k+ substitutes Rebound HTN in non compliant  
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ARBS   “Sartan”   Blocks aldosterone Blocks angiotensin ll from AT1 receptor   Dizziness Fatigue Insomnia *no dry cough   Less effective in African Americans Watch renal function  
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*P Beta blockers   “Lol”   Inhibits SNS Vasodilator   Decrease BP Insomnia Depression Nightmares Fatigue sexual dysfunction   Do not use in pts with asthma/COPD Take apical pulse before giving Rebound HTN if not compliant DM= masks hypoglycemia  
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Calcium channel blockers   Diltiazem Verapamil Amlodipine Nifedipine   Inhibits Ca across cell membrane resulting in vasodilation Decrease HR   Flush Dizziness Ankle edema Bradycardia   May work better for African Americans Do NOT ingest grapefruit Watch for bradycardia  
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Increase K+ Diuretic (loop)   Furosemide Bumetanide Torsemide   Promotes NaCl & H2O excretion   Orthostatic hypotension Electrolyte abnormalities   Usually used first Not for pts with renal issues Watch lithium levels Increase potassium intake Photosensitive  
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Increase K+ Diuretic (thiazides)   Metolazone Hydrochlorothiazide   Promotes NaCl & H2O excretion   Orthostatic hypotension Hypokalemia   NSAIDs can decrease effectiveness Not for pts with renal issues Watch lithium levels Increase potassium intake Photosensitive  
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Potassium sparing diuretic   Spironolactone Trimaterene   Reduces excretion of K+     Not for renal failure pts Avoid k+ Use cautiously with ACE/ ARBS  
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*P Cardiac glycoside   Digoxin   Makes heart beat stronger   Dig toxicity- Anorexia N/V Diarrhea Blurred vision Decreased HR Confusion   Take pulse before giving If less than 60 hold and call DR Monitor K+ Dig toxicity use digibond  
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  Entresto     Hypotension Hyperkalemia Cough Dizziness   Can’t take with ACE inhibitors Must wait 36 hrs  
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Vasodilator   Nitrates Sodium nitro Nesiritide        
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    Relaxing smooth muscle of blood vessels   Tachycardia Palpitations Edema Dizziness Restless   Pts shouldn’t take nitroglycerin with viagara  
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