Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
Thiazide-type diuretics
|
decreased libido (desire for sex)
decreased sexual performance |
|
The most frequent side effect of diuretics
|
Hypokalemia
Assess irregular pulse and muscle weakness |
|
Angiotensin-converting enzyme (ACE) inhibitor
What effect can ACE cause in electrolytes balance? other SE? |
Hyperkalemia (weakness and irregular pulse)
Orthostatic hypotension Dizziness Postural hypotension Cough (if a cough develops, the drug is discontinued) |
|
Angiotensin II receptor blockers
How does it work? When to use? |
Block the binding of angiotensin II to its receptor
For patients who report a nagging cough associated with ACE inhibitors For those with hyperkalemia Don't require initial adjustment of the dose for older adults or any patient with renal impairment |
|
Angiotensin II causes what effect on blood vessels?
|
Vasoconstrictor
|
|
Calcium channel-blockers
How does it work on blood pressure? Client teaching? |
lower blood pressure by interfering with the transmembrane flux of calcium ions --> vasodilation
No grapefruit juice --> increases hypotensive effects |
|
How does ACE inhibitors work?
|
block the convertion from angiotensin I to angiotensin II, one of the most powerful vasoconstrictors in the body. --> ACE inhibitors cause the vessels constrict less
|
|
Aldostetone receptor antagonists
What kind of electrolytes levels should be monitored carefully? SE? Client teaching? |
potasssium (worry about hyperkalemia)
Hypertriglyceridemia, hyponatremia, and hyperkalemia can occur as the dose increases. No grapefruit juice and St. John's Wort |
|
Hydralazine
|
antihypertensive (act quickly)
|
|
Labetalol (Normodyne, Trandate)
|
antihypertensive (act quickly)
|
|
Nitroprusside (Nipride)
|
antihypertensive (act quickly)
|
|
Nicardipine (Cardene IV)
|
antihypertensive (act quickly)
|
|
Fenodopam (Corlopam)
|
antihypertensive (act quickly)
|
|
desirable total serum cholesterol levels
|
< 200 mg/dL
|
|
desirable LDL-C level
|
< 100 mg/dL
< 130 mg/dL per professor |
|
desirable HDL-C level
|
> 40 mg/dL
|
|
desirable triglyceride level
|
< 150 mg/dL for men
< 135 mg/dL for women |
|
Beta-adrenergic blockers
SE |
sexual dysfunction, fatigue, weakness, depression
|
|
six Ps of ischemia in acute peripheral arterial occlusion
|
Pain
Pallor Pulselessness Paresthesia Paralysis Poikilothermia (coolness) |
|
signs of thoracic aortic aneurysm
|
back pain
SOB hoarseness difficulty swallowing mass maybe visible |
|
signs of MI
|
chest pain
SOB diaphoresis anxiety restlessness |
|
sign of hemorrhage
|
decrease in BP
increase in pulse rapid respiration diaphoresis |
|
example of calcium channel blockers
|
varapamil hydrochloride (Calan)
amlodipine (Norvasc) diltiazem (Cardizem) |
|
example of angiotensin II receptor antagonists
|
candesartan (Atacand)
losartan (Cozaar) telmisartan (Micardis) valsartan (Diovan) |