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45 Cards in this Set

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Diuretic
decrease blood volume and lowerBP; good for asthma, African Amer; monitor K and watch for muscle weakness or irregular pulse
Thiazide
prevent Na and H20 reabsorption promote K excretion
Furosemide(lasix,fuoside)
Loop Diuretic
Chlorothiazide
Thiazide Diuretic- cause natriuresis
HCT- Hydrochlorothiazide(Esidrix, Hyodril)
Thiazide bad for gout and sulfor reactions
Hygroton(chlorthlaidone)
thiazide diuretic
Quinethazone(hydromox)
thiazide diuretic
Loop diuretic
depress Na reabsorption in ascending loop of henle promote K excretion(sweet taste) bd for azotomia; skin; gastric issues
Furosemide
Loop
Ethacrynic acid(edecrin)
Loop
Bumatanide(Bumex)
Loop
Toremide(demadex)
Loop
Potassium Sparing
inhibit reabsorption of Na ions in exchange for K(retain K); Aldosterone Rec Antag sometimes
Spironolactone(aldactone)
Pot. Sparing/Aldosteron competes for aldosterone recepting spots
Triamterone(dyrenium)
Pot Spar diuretic can cause mental confusion and ataxia
eplerenone
aldosterone recep antagonist- remodeling after myocardial infarction helps contractility
Beta Blocking Agents
block beta receptors (sym nerv sys) in heart and peripheral vessels reduces CO can cause fatigue weakness depression contraindicated with asthma, R vent fail or HR lower than 60
Propranolol(inderal)
beta blocker(watch for bradycardia monitor pulse
atenolol
beta blocker( watch for short of breath wheezing
Nadolol
beta blocker (impotence)
metoprolol(lopressor)
beta blocker; hypoglycemic ss may be masked; monitor glucose
Combined alpha beta
fast acting IV or po, no decrease in renal perfussion, bad for asthma, shock or tachycardia
Calcium Channel Blocker
interfere with transmembrane flux of calcium ions; monitor BP and pulse; hypotension dizziness edema constipation good for AA
Nifedipine(procardia)
fast acting Dihydropyridine calcium channel blocker
amlodipine
dihydropyridine; calcium channel blocker
felodopine
cal chan blcker; dihydrop; cause muscle and joint issues
Nisoldipine (sular)
cal chan blcker; dihydrp; less energy for CO isolated sys HTN; cause constipation
dilitiazem hydrochloride(cardizem)
nonhydrop; cal chan blcker; gingivitus; sick sinus syndrome
Verapamil(Isoptin)
rapid onset iv; nonhydrop; cal chan blcker
ACE inhibitor
stay in bed 3-4 hr w initial use; check every 15 min; Postural orthostatic hypotension; monitor BP renal
captopril, enlapril, lisinopril, ramipril, trandolapril
ACE inhibitor- monitor BP for POH and stay in be 3-4hr
do not take preg or renal impair
ARB- Angiotensin II receptor antag-
good for those who have cough with ACE or hyperkalemia ok for renal; bad AA, preg, hypokalemia
candesartan, valsartan, irbarsartan, losartan, telmisartan
ARB- Angiotensin II inhib; watch POH; bad for AA PREG hypokalemia
Central Alpha Agonist
prevent reuptake of norephinephrine- sedation, impotence, drymouth; POH
clonidine
CAA- give at qhs, rahs rebound w/drawl
methyldopa
CAA- good for preg; hemolytic anemia and inflammatory disorder and liver disease
Vasodilator-
relax smooth muscle tone reducing periph resis; monitor pulse for tachycardia
minooxidil(loniten)
vasodil
nitroglycerin(nitrobid)
vasodil
nitroprusside(nitropress
vasodil
Hydalazine HCL capresoline
vasodil; for eclampsia; may cause lupus
Alpha-adrenergic receptor agonist-
dilate arteriole and veins rapid acting
prazosin(minipress)
Alpha adren rec; rare used b/c bad side effects
doxazosin(cardura)
alpha adren rec;monitor bp 2-6 hours after initial dose
terazosin(hytrin)
alpha adren rec; dizzy, give qhs to avoid POH