Hypertension Medications
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Beta Blockers | metoprolol (Lopressor) | Myocardial Infarction (decreases hearts workload) |
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Angiotensin-Converting Enzyme (ACE) inhibitorsinhibitors | lisinopril (Prinivil, Zestril). | Diabetes Mellitus (ACE inhibitor to help protect renal function), Heart failure, Myocardial infarction | *Pregnancy *Hx of angioedema *Hypovolemia *African american PT (not as effective) *Surgery/anasthesia | *cough *hypotension *impaired renal function *abdominal pain *ANGIOEDEMA
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Angiotensin II Receptor Blockers | *valsartan (Diovan) *irbesartan (Avapro). | PTs with diabetes |
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Calcium Channel Blockers | diltiazem (Cardizem). | more effective in African americans | *Hypersensitivity *Pregnancy *BP <90mmHg *Lactation *Black PTs (not as effective) *Na+ depleted PTs on diuretics *Pediatrics | *Hypotension *Hyperkalemia *Impaired renal function *dysrhythmia *Edema *Bradycardia
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Diuretics | thiazides, loop diuretics, and potassium sparing | Heart failure, African americans |
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Andrenergics | Clonodine | no special considerations | *Serious cardiac or cerebrovascular disease. *Renal insufficiency. *increased risk of orthostatic hypotension *adverse CNS effects in geriatric patients *Pregnancy or lactation | *Bradycardia *Erectile disfunction *Rash *Sodium retention *Weight gain *inc heart rate
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