Drug Class - Antihypertensives

Front 1

Name the 9 groups of antihypertensives?

Back 1

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

Front 2

Name 10 ACE inhibitors?

Back 2

benazepril Lotensin

captopril Capoten

enalapril, enalaprilat
Vasotec, Vasotec IV

fosinopril Monopril

lisinopril Prinivil, Zestril

moexipril Univasc

perindopril Aceon

quinapril Accupril

ramipril Altace

trandolapril Mavik

Front 3

Name 6 angiotensin II receptor antagonists?

Back 3

candesartan Atacand

eprosartan Teveten

irbesartan Avapro

losartan Cozaar

telmisartan Micardis

valsartan Diovan

Front 4

Name 8 nonselective beta blockers?

Back 4

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}

Front 5

Name 5 selective beta blockers?

Back 5

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

Front 6

Name 8 calcium channel blockers?

Back 6

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

Front 7

Name 4 centrally acting adrenergic agonists?

Back 7

clonidine Catapres, Catapres-TTS, {Dixarit}, Duraclon

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

guanabenz Wytensin

guanfacine Tenex

Front 8

Name 5 diuretics (thiazide)?

Back 8

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

Front 9

Name 4 peripherally acting anti-adrenergics?

Back 9

doxazosin Cardura

guanadrel Hylorel

prazosin Minipress

terazosin Hytrin

Front 10

Name 4 vasodilators?

Back 10

fenoldopam Corlopam

doxazosin Cardura

minoxidil, systemic Rogaine

nitroprusside Nitropress

Front 11

Which route of antihypertensives is used for hypertensive emergencies?

Back 11

parenteral products

Front 12

_____ treatment should be initiated as soon as possible and individualized to ensure adherence and compliance for long-term therapy.

Back 12

Oral

Front 13

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.

Back 13

okay

Front 14

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.

Back 14

90

Front 15

The goal of antihypertensive therapy is prevention of ____-____ damage.

Back 15

end-organ

Front 16

Antihypertensives are classified into groups according to their site of ____.

Back 16

action

Front 17

Choose antihypertensives carefully in the following? (3)

Back 17

pregnancy
lactation
digoxin

Front 18

Which 2 antihypertensives should be avoided during pregnancy?

Back 18

ACE inhibitors
angiotensin II antagonists

Front 19

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)?

Back 19

alpha-adrenergic agonists
beta blockers

Front 20

Which diuretics may increase the requirement for treatment of diabetics?

Back 20

thiazide

Front 21

Vasodilators may cause _____ if used alone and are commonly used in combination with beta blockers.

Back 21

tachycardia

Front 22

Some antihypertensives cause _____ and _____ retention and are usually combined with a diuretic.

Back 22

sodium
water

Front 23

Which drugs can negate the therapeutic effectiveness of antihypertensives? (8)

Back 23

antihistamines
NSAIDS
sympathomimetic bronchodilators
decongestants
appetite suppressants
anti-depressants
MAO inhibitors

Front 24

Hypokalemia from diuretics may increase the risk of ____ toxicity.

Back 24

digoxin

Front 25

Potassium supplements and potassium-sparing diuretics may cause _____ when used with ACE inhibitors.

Back 25

hyperkalemia

Front 26

What 2 vital signs should be assessed frequently during dosage adjustment and periodically throughout therapy?

Back 26

blood pressure
pulse

Front 27

Monitor intake and output ratios and daily _____.

Back 27

weight

Front 28

Monitor frequency of prescription refills to determine ______.

Back 28

compliance

Front 29

List 3 potential nursing diagnoses?

Back 29

Tissue perfusion, altered
Knowledge deficit, related to
medication regimen
Noncompliance

Front 30

Instruct patient to continue taking medication, even if feelingn well. Abrupt withdrawal may cause _____ hypertension.

Back 30

rebound

Front 31

Medication _____ but does not cure hypertension.

Back 31

controls

Front 32

What are 6 additional interventions for hypertension that patients should comply with?

Back 32

weight reduction
low-sodium diet
regular exercise
discontinuation of smoking
moderation of alcohol
consumption
stress management

Front 33

Instruct patient and family on proper technique for monitoring blood pressure. Advise them to check blood pressure _____ and report significant findings.

Back 33

weekly

Front 34

Caution patient to make position changes slowly to minimize ____ _____.

Back 34

orthostatic hypotension

Front 35

Advise patient that exercise or hot weather may enhance _____ effects.

Back 35

hypotensive

Front 36

Advise patient to inform hcp of medication regimen before treatment or surgery.

Back 36

okay

Front 37

Patients taking ___ ____ or ____ ___ _____ should notify hcp if pregnancy is planned or suspected.

Back 37

ACE inhibitors
angiotensin II antagonists

Front 38

Effectiveness of therapy can be demonstrated by?

Back 38

decrease in blood pressure

Front 39

benazepril?

Back 39

Lotensin

Front 40

catopril?

Back 40

Capoten

Front 41

enalapril?
enalaprilat?

Back 41

Vasotec
Vasotec IV

Front 42

fosinopril?

Back 42

Monopril

Front 43

lisinopril?

Back 43

Prinivil
Zestril

Front 44

moexipril?

Back 44

Univasc

Front 45

perindopril?

Back 45

Aceon

Front 46

quinapril?

Back 46

Accupril

Front 47

ramipril

Back 47

Altace

Front 48

trandolapril

Back 48

Mavik