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48 Cards in this Set

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Name the 9 groups of antihypertensives?
angiotensin-converting
enzyme (ACE) inhibitors
angiotensin II receptor
antagonists
beta blockers (nonselective)
beta blockers (selective)
calcium channel blockers
centrally acting adrenergic
agonists
diuretics (thiazide)
peripherally acting anti-
adrenergics
vasodilators
Name 10 ACE inhibitors?
benazepril Lotensin

captopril Capoten

enalapril, enalaprilat
Vasotec, Vasotec IV

fosinopril Monopril

lisinopril Prinivil, Zestril

moexipril Univasc

perindopril Aceon

quinapril Accupril

ramipril Altace

trandolapril Mavik
Name 6 angiotensin II receptor antagonists?
candesartan Atacand

eprosartan Teveten

irbesartan Avapro

losartan Cozaar

telmisartan Micardis

valsartan Diovan
Name 8 nonselective beta blockers?
carteolol Cartrol

carvedilol Coreg

labetalol Normodyne, Trandate

nadolol Corgard (Syn-Nadolol}

penbutolol Levatol

pindolol {Novo-Pindol},
{Syn-Pindolol}, Visken

propranolol {Apo-Propranolol}, {Betachron E-R}, Inderal, Inderal LA, InnoPran XL, {Novopranol}, {pms Propranolol}

timolol {Apo-Timol}, Blocadren, {Novo-Timol}
Name 5 selective beta blockers?
acebutolol {Monitan}, Sectral

atenolol {Apo-Atenolol}, {Novo-Atenolol}, Tenormin

betaxolol Kerlone

bisoprolol Monocor, Zebeta

metoprolol {Betaloc}, {Betaloc Durules}, {Lopresor}, {Lopresor SR}, Lopressor, {Novometroprol}, Toprol-XL
Name 8 calcium channel blockers?
amlodipine Norvasc

diltiazem {Apo-Diltiaz}, Cardizem, Cardizem LA, CartiaXT, Dilacor XR, Diltia XT, {Novo-Diltazem}, Nu-Diltiaz, {Syn-Diltiazem}, Tiamate, Tiazac

felodipine Plendil, {Renedil)

isradipine DynaCirc, DynaCirc CR

nicardipine Cardene, Cardene SR, Cardene IV

nifedipine Adalat, Adalat CC, {Apo-Nifed}, Nifedical XL, {Novo-Nifedin}, {Nu-Nifed), Procardia, Procardia XL

nisoldipine Sular

verapamil Apo-Verap, Calan, Calan SR, Covera-HS, Isoptin, Isoptin SR, {Novo-Veramil}, {Nu-Verap}, Verelan, Verelan PM
Name 4 centrally acting adrenergic agonists?
clonidine Catapres, Catapres-TTS, {Dixarit}, Duraclon

methyldopa Aldomet, {Apo-Methyldopa}, {Dopamet}, {Novamedopa, {Nu-Medopa}

guanabenz Wytensin

guanfacine Tenex
Name 5 diuretics (thiazide)?
chlorothiazide Diuril

chlorthalidone {Apo-Chlorthalidone}, Hygroton, Thalitone, {Uridon}

hydrochlorothiazide {Apo-Hydro}, Esidrex, HCTZ, Hydro-chlor, Hydro-D, HydroDIURIL, Microzide, {Neo-Codema}, Novo-Hydrazide, Oretic, {Urozide}

inadapamide Lozol

metolazone Mykrox, Zaroxolyn
Name 4 peripherally acting anti-adrenergics?
doxazosin Cardura

guanadrel Hylorel

prazosin Minipress

terazosin Hytrin
Name 4 vasodilators?
fenoldopam Corlopam

doxazosin Cardura

minoxidil, systemic Rogaine

nitroprusside Nitropress
Which route of antihypertensives is used for hypertensive emergencies?
parenteral products
_____ treatment should be initiated as soon as possible and individualized to ensure adherence and compliance for long-term therapy.
Oral
Antihypertensive therapy is initiated with agents having minimal side effects. When such therapy fails, more potent drugs with different side effects are added in an effort to control blood pressure.
okay
As a group, the antihypertensives are used to lower blood pressure to a normal level, which is less than _____ mm Hg diastolic or to the lowest level tolerated.
90
The goal of antihypertensive therapy is prevention of ____-____ damage.
end-organ
Antihypertensives are classified into groups according to their site of ____.
action
Choose antihypertensives carefully in the following? (3)
pregnancy
lactation
digoxin
Which 2 antihypertensives should be avoided during pregnancy?
ACE inhibitors
angiotensin II antagonists
Which 2 antihypertensives should be used only in patients who will comply, because abrupt discontinuation of these agents may result in rapid and excessive rise in blood pressure (rebound phenomenon)?
alpha-adrenergic agonists
beta blockers
Which diuretics may increase the requirement for treatment of diabetics?
thiazide
Vasodilators may cause _____ if used alone and are commonly used in combination with beta blockers.
tachycardia
Some antihypertensives cause _____ and _____ retention and are usually combined with a diuretic.
sodium
water
Which drugs can negate the therapeutic effectiveness of antihypertensives? (8)
antihistamines
NSAIDS
sympathomimetic bronchodilators
decongestants
appetite suppressants
anti-depressants
MAO inhibitors
Hypokalemia from diuretics may increase the risk of ____ toxicity.
digoxin
Potassium supplements and potassium-sparing diuretics may cause _____ when used with ACE inhibitors.
hyperkalemia
What 2 vital signs should be assessed frequently during dosage adjustment and periodically throughout therapy?
blood pressure
pulse
Monitor intake and output ratios and daily _____.
weight
Monitor frequency of prescription refills to determine ______.
compliance
List 3 potential nursing diagnoses?
Tissue perfusion, altered
Knowledge deficit, related to
medication regimen
Noncompliance
Instruct patient to continue taking medication, even if feelingn well. Abrupt withdrawal may cause _____ hypertension.
rebound
Medication _____ but does not cure hypertension.
controls
What are 6 additional interventions for hypertension that patients should comply with?
weight reduction
low-sodium diet
regular exercise
discontinuation of smoking
moderation of alcohol
consumption
stress management
Instruct patient and family on proper technique for monitoring blood pressure. Advise them to check blood pressure _____ and report significant findings.
weekly
Caution patient to make position changes slowly to minimize ____ _____.
orthostatic hypotension
Advise patient that exercise or hot weather may enhance _____ effects.
hypotensive
Advise patient to inform hcp of medication regimen before treatment or surgery.
okay
Patients taking ___ ____ or ____ ___ _____ should notify hcp if pregnancy is planned or suspected.
ACE inhibitors
angiotensin II antagonists
Effectiveness of therapy can be demonstrated by?
decrease in blood pressure
benazepril?
Lotensin
catopril?
Capoten
enalapril?
enalaprilat?
Vasotec
Vasotec IV
fosinopril?
Monopril
lisinopril?
Prinivil
Zestril
moexipril?
Univasc
perindopril?
Aceon
quinapril?
Accupril
ramipril
Altace
trandolapril
Mavik