Check BP before giving HTN meds:
If < 90
Hold and call MD
If there is a significant decrease in BP from what is normal for that patient:
Hold and Call MD
Is a pre-op patient usually given their HTN meds?
What type of HTN meds end in "ide"?
What is the action of Thiazide/thiazide-like diurectics?
Block Na reabsorption
Water excreted with Na
Decreased blood volume
What are the side effects of Thiazide/thiaazide like diuretics?
Increase BUN, uric acid, blood glucose
Thiazide/Thiazide like and Loop diurectics are:
Potassium wasting diurectics
What are the actions of Loop Diurectics?
Block NA and water reabsorption
decreases blood volume
What are the Side Effects of Loop Diuretics?
Increase uric acid
What does an increase in uric acid usually cause?
What are the common meds for Gout?
What are the actions for Potassium-Sparing Diuretics?
Na excreted in exchange for K
What are the Side Effects for Potassium-Sparing Diuretics?
Patients taking Potassium Sparing Diurectics should avoid?
What type of HTN meds end in "lol"
What are the actions of Beta Blockers?
Block beta-adrenergic receptors in SNS
Decrease HR and BP
Decrease Renin release by kidneys
What are the Side Effects of Beta Blockers?
What is a side effect of beta blockers for a diabetic?
may not have usual hypoglycemic symptoms
When should a beta blocker not be used?
Before giving a beta blocker, what should you check?
*if less than 60 hold and notifiy MD
What are theactions of Centrally acting alpha blockers?
What are the side effects of Centrally acting alpha blockers?
What HTN med is usually giving PRN?
Centrally acting alpha blockers
What are the actions for Alpha-1 Adrenergic Blockers?
What are the S/E of Alpha-1 Adrenergic blockers?
First dose syncope
What are the actions of Combo Alpha/Beta Blockers?
Block beta adrenergic receptors in SNS
Decreased HR and BP
Dcreased renin release by kidneys
(same as Beta Blockers)
What are the S/E of Combo Alpha/Beta Blockers?
What should you check before giving and Combo Alpha/Beta Blocker?
What are the actions of Vasodilators?
Dilate peripheral vessels by directly relaxing vascular smooth muscle
What are the S/E of Vasodilators?
type of HTN med ends in "pril"?
What are the actions of ACE inhibitors?
Inhibits conversion of angiotensin to angiotensin II
What are the S/E of ACE inhibitors?
First dose Hypotension
Renal function should be monitored while taking an ACE inhibitor, what labs would reflect this?
Names of ACE inhibitors generic and trade
Catopril - Capoten
Enalapril - Vasotec
Lisinopril - Prinivil
Benzapril - Lotensin
Fosinopril - Monopril
Quinopril - Accupril
What are the actions of Angiotensin II Receptor Blockers "ARB"?
Blocks effect of angiotensin II at the receptor
What are the S/E of ARB's?
There are minimal S/E
What type of HTN med ends in "sartan"?
ARB med generic and trade names
Losartan - Cozaar
Irbesartan - Avapro
Valsartan - Diovan
What are the actions of Calcium Channel Blockers?
Inhibit influx of Ca into muscle cells
Decreases PVR by relaxing vascular smooth muscle
What are the S/E of Ca channel blockers?
What should patients taking Ca Channel Blockers avoid?
What type of HTN med is considered the "work horse"?
Ca Channel Blockers
Ca Channel Blocker meds generic and trade name
Diltiazen - Cardizem
Nifedipine - Procardai
Verapamil - Calan- Isoptin
Amlodipine - Norvasc
An HTN emergency is an acute elevation of BP of ?