Drug Therapy For Hypertension

Front 1

What type of drug is chlorothiazide (Diuri)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 1

- a low ceiling diuretic
- dose 125-500mg daily
- Interventions: Monitor K levels and watch for muscle weakness or irregular pulse
- Rationals: Hypokalemia is a common occurrence.

Front 2

What type of drug is Hydrochlorothiazide (Esidrix, Hydrodiuril)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 2

- A low-ceiling diuretic
- 12.5 - 50mg per day
-Encourage intake of foods high in potassium (bananas or orange juice)
-Depleted K needs to be replaced.

Front 3

What type of drug is Furosemide (Lasix, Furoside)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 3

- High-ceiling diuretics
- 20-80mg per day
- monitor potassium levels and watch for muscle weakness or irregular pulse. Also observe for dehydration, especially in older adults.
- hypokalemia is a common occurrence and loop diuretics can cause dehydration in older adults.

Front 4

What type of drug is Bumetanide (Burnex)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 4

- High-ceiling diuretic
- .5-2mg per day PO
- monitor potassium levels and watch for muscle weakness or irregular pulse. Also observe for dehydration, especially in older adults.
- hypokalemia is a common occurrence and loop diuretics can cause dehydration in older adults.

Front 5

What type of drug is Spironolactone (Aldactone)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 5

- Potassium sparing diuretic
- 25-100mg per day
- monitor K levels and watch for muscle weekness or irregular pulse
- hypokalemia or hyperkalemia may occur.

Front 6

What type of drug is Triamterene (Dyrenium)? What is the usual dose? what are the nursing interventions? what is the rationals?

Back 6

- Potassium-sparing diuretic
- 50-100mg per day
- Monitor K levels and watch for muscle weakness or irregular pulse.
- Hypokalemia or hyperkalemia may occur.

Front 7

What type of drug is Verapamil (Apo-Verp, Calan, Calan SR, Isoptin)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 7

- Calcium Channel Blocking agent.
- 80 mg q8h
-Monitor BP and pulse; change positions slowly. Encourage intake of foods high in fiber.
- Hypotension and decreased HR may occur, constipation is a common side effect.

Front 8

What type of drug is Amiodipine (Norvasc)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 8

- Calcium channel blocking agent.
- 5-10mg daily
- Monitor BP and pulse; teach clients to change positions slowly. Use protective clothing or sunscreen when exposed to the sun
- Hypotension and decreased HR may occur, constipation is a common side effect. Photosensitivity is a common side effect.

Front 9

What type of drug is Diltazem (Cardizem, Apo-Diltiaz, Cardizern SR)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 9

- Calcium channel blocking agent
-30-360mg daily
- Monitor BP and pulse; teach client to change positions slowly. teach clients to avoid grapefruit juice.
-Hypotension and decreased HR may occur, constipation is a common side effect. Increased hypotensive effects may occur as a result of drug-food interaction.

Front 10

What type of drug is Nicardipine (Cardene, Cardene SR)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 10

- Calcium Channel Blocking agent.
- 20-40mg PO t.i.d
- Do not give with grapefruit juice. Monitor digoxin levels if the client is taking this drug.
- Grapefruit juice increases drug level and hypotensive effect.Nicardipine increases the effects of digoxin.

Front 11

What type of drug is Captopril (Capoten, Novo-Captopril)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 11

- Angiotensin-converting enzyme (ACE) inhibitor.
- 25-150mg b.i.d to t.i.d
- Monitor BP and pulse; teach clients to change positions slowly. Use protective clothing or sun screen when exposed to the sun. teach client to report cough
- coughing is a common side effect of ACE inhibators; drug is discontinued if this problem occurs.

Front 12

What type of drug is Enalapril (Vasotec, Vasotec IV)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 12

- Angiotensin-converting enzyme (ACE) inhibitor.
- 5-40mg po daily
- Monitor BP and pulse; teach clients to change positions slowly. Use protective clothing or sun screen when exposed to the sun. teach client to report cough
- coughing is a common side effect of ACE inhibators; drug is discontinued if this problem occurs.

Front 13

What type of drug is Lisinopril (Zestril, Prinvil)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 13

- Angiotensin-converting enzyme (ACE) inhibitor.
-10-40mg daily
- Monitor BP and pulse; teach clients to change positions slowly. Monitor and teach clients to report signs of heart failure. teach client to report cough
- Hypotension is a common side effect. this drug can cause heart and renal complications. coughing is a common side effect of ACE inhibators; drug is discontinued if this problem occurs.

Front 14

What type of drug is Ramipril (Altace)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 14

- Angiotensin-converting enzyme (ACE) inhibitor.
- 2.5-20mg daily
- Monitor BP and pulse; teach clients to change positions slowly. Monitor and teach clients to report signs of heart failure. teach client to report cough
- Hypotension is a common side effect. this drug can cause heart and renal complications. coughing is a common side effect of ACE inhibators; drug is discontinued if this problem occurs.

Front 15

What type of drug is Candesartan (Atacand)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 15

- Angiotensn II receptor antagonist.
- 8-32mg daily
- Monitor BP and pulse, teach clients to change position slowly. Observe for and teach client to report angioedema (swollen lips, face)
-Hypotension is a common side effect. Angioedema is a serious but not common adverse side effect.

Front 16

What type of drug is Losartan (Cozaar)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 16

-Angiotensin II receptor antagonist.
- 25-50 mg daily
- Monitor BP and pulse. Monitor for and report signs of HF (such as edema)
- hypotension is a common side effect. HF can result from this drug.

Front 17

What type of drug is Telmisartan (Micardis)? What is the usual dose? what are the nursing interventions? what is the rational?

Back 17

-Angiotensin II receptor antagonist.
-20-80mg daily
- Monitor BP and pulse; teach clients to change positions slowly. Observe and teach clients to report angioedema (swollen lips and face)
-Hypotension is a common side effect and so is angioedema.