My first doses have been know to cause orthostatic hypotension, a hacky cough, or hyperkalemia. What drug class am I..
ACE inhibitors
Don't use me if your taking anticoagulants.
Who am I?
Central acting alpha 2 agonist
Catapres(clonidine)
Concurrent use of prazosin, MIAO, and tricyclic antidepressants can counteract the antihypertensive effect.
Who am ?
Central acting alpha 2 agonist
Catapres(clonidine)
I have a tendency to cause drowsiness, sedation, dry mouth, and rebound hypertension if I am stopped suddenly.
Who am I?
Central acting alpha 2 agonist
Catapres(clonidine)
I decrease sympathetic outflow to the peripheral vasculature resulting in vasodilation, which leads to decrease BP.
Who am I?
Central acting alpha 2 agonist
Catapres(clonidine)
My drugs cause ateriole vasodilation, excretion of water and sodium while retaining potassium in the kidneys.
They also cause a pathological change in the blood vessels and heart that result from the presence of Angiotensin II and aldosterone. Whow am I?
ACE inhibitor
I inhibit calcium ion influx across cell membranes, causing vasodilation of coronary arteries and the peripheral arterioles. I have NO contraindications!!
Who am I?
Calcium channel blocker
Norvasc(amlodipine)
I cause vasodilation of the peripheral arterioles and arteries of the heart by blocking alcium channels in the blood vesels. I inhibit calcium ion influx and reduce cardiac afterload.
What drug am I?
Calcium channel blocker
Cardizem(diltiazem)
Use this drug with caution if you have diabetes. May cause muscle cramps and joint stiffness.
Whow am I?
Calcium channel blocker
Cardizem(diltiazem)
I decrease sympathetic outflow to the myocardium resulting in bradycardy and decreased cardiac output.
What drug am I?
Central acting alpha 2 agonist
Catapres(clonidine)
I may cause hypotension, gingivitis, edema, irreugular heart beat, or dizziness.
What drug am I?
Calcium channel blocker
Cardizem(diltiazem)
Use of NSAID's may decrease my antihypertensive effect, so you should avoid concurrent use of these medications with me.
Who am I?
Ace inhibitors
Altace(ramipril)
Prinivil (lisinopril)
I am an antihypertensive drug class that prevents vasoconstriction by inhibiting the conversion of Angiotensin I to AngiotensinII. I also lower overall peripheral resistance.
Who am I?
ACE inhibitors
Consuming grapefruit juice with me can lead to toxicity.
Who am I?
Cardizem(diltiazem)
I am a calcium channel blocker that maybe given with a diuretic because I can cause peripheral edema.
Who am I?
Cardizem(diltiazem)
I have been know to cause swelling of the throat, rashes, and dygeusia (lack of taste).
Who am I?
Atlace(ramipril)
Prinivil(lisinopril)
My contrindiactions include rena stenious when present bilaterally or with a single kidney; also with a patient with a history of angioedema.
Who am I?
ACE inhibitors
Atlace(ramipril)
Prinivil(lisinopril)
I can be administered three ways: orally, epidural, or transdermal. I am usually given twice daily with the largest dose given at night.
Who am I?
Cental acting alpha 2 agonist
catapres(clonidine)
Name two ace inhibitors
Altace(ramipril)
Prinivil(lisinopril)
I prevent vasoconstriction but in doing so i may cause you to become hypotensive, which may lead to renal disease or cardiac disease, I am relaly bad about giving you a dry hacky cough.
Who am I?
ACE inhibitor
Altace(ramipril)
Name two nursing interventions for angioedema.
cessation of the drug
treat with sub q injection of epi in cases of severe allergic reaction
I am a calcium channel blocker that works fast either by oral or sublingual route.
I have no tendency to slow down the SA nodal activity or prolong the AV nodal conduction.
Who am I?
Norvasc(amlodipine)
Use with caution if you are receiving digoxin and beta blockers
Calcium channel blocker
Cardizem(diltiazem)
What is angioedema?
Swelling of the throat
I am contraindicated if you have sick sinus syndrome, av blocks, hypotension, or heart failure
Calcium channel blocker
Cardizem(diltiazem)
-Normally given orally, excepty for IV enalaprilat.
- Sometimes prescibed alone or with a hydochlorothiazide.
-Monitor for hypotension for at least two hours after the 1st dose.
ACE inhibitor
Altace(ramipril)
Prinivil(lisinopril)
Clients are advised to temporarily stop atking diuretic 2 to 3 days bfore the start of ACE inhibitor thearpy.
T or F
True
The use of NSAID'S can be taken concurrently with ACE inhibitors?
T or F
False.
The use of NSAID's myayDECREASE the antihypertensive effects of the ACE medication.
An avdverse effect of patient's taking ACE inhibitors in hypokalemia. So clients are advised to use salt substitutes containg potassium.
T or F
False.
Client's taking Ace iinhibitors are advise no to take salt containing K+ becasue it will increase the hyperkalemic effect.
A nurse should advise a client taking cardiazem(diltiazem) to observe for suppression of cardiac funtions, which include_____?
slow pulse and activity intorelance.
If a client shows signs of acute toxicity resulting in hypotension, bradycardia, AV blocks, or tachdysrhythmias, what are some nursing intervention that can counteract this effect?
Amisnistration of medications like (norepinephrine, calcium, isoprotenrenol, lidocaine, and IV fluids)
Digoxin and beta-blockers are contradiacted with this antihypertensive drug?
cardiazem(diltiazem)
This drug decreases perpherial vascular resistence and causes relaxation of the vascular smooth muscle resulting in a decrease of both systolic and diastolic blood pressure.
Cardizem (diltiazem)
This drug reduces peripheral vascular pressure by causing a direct vasodilation on the peripheral ateries of the vascular smooth muscle.
Norvasc(amlodipine)
If a patient misses a dose of Norvasc(amliodipine), instruct them to that the missed dose as sson as possible, but only if its has been more than 12 hours.
T or F
True
This potassium-sparing diuretic affects the distal tuble and pevents reabsorption of sodium in exchange for potassium.
Aldtacone(spirolactone)
Nursing considerations for the use of diuretics.
Monitor the patient's K+levels and watch for muscle weakness, irregular pulse, and dehydration.
Thiazides and loop diuretics cause hyperkalemia.
True or False
False
Nursing Considerations: Calcium channel blockers
Monitor blood pressure and pulse and have client change positions slowly. Hypotension is a common effect.
ame two nursing techings associated with the use of calcium channel blockers.
Teach the client how to take their own pulse and call the provier if the pulse is irregular or lower and established rates.
Instruct the patient to avoid grapefruit juice with while taking calcium channel blockers, namely Cardizem, because it can increase the hypotensive effects of the medication.
Client teach for ACE inhibitors:
Teach the client to report a cough, which is a side effect of ACE, because this medication can be discontinued due to its persistent nature and occasionaly relationship to angioedema that can progress to life threatening situation.
