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Antihypertensives are
Beta blockers, ace inhibitors, ARBs, CCBs, Loop diuretics
Beta blockers end in
-olol
When taking beta blockers, monitor…
Heart rate!
Beta blockers (-olol) are used for
Hypertension, heart failure, angina
If pt is taking beta blockers and has low hr, what would the nurse do?
Hold the med and notify the fuckass provider
As a nurse we should be worried bc beta blockers mask what?
The signs of hypoglycemia (tachycardia, diaphoresis)
Don’t give beta blockers to pt with
Heart block
Asthma (can cause broncho-constriction)
Ace inhibitors end in
-pril
The ACE in Ace inhibitors stands for what
Angiotensin converting enzyme inhibitors
(This enzyme is in the stupid ass lung)
Ace inhibitor side effect we should look out for isssss
A dry cough (ho)
Opposite/adverse effects of ACE inhibitors include:
Hypotension
Dry cough (ho)
Hyperkalemia
sometimes Angioedema
ACE inhibitors first dose effect is syncope (fainting) on rising, so have your client
Stand up slowly!
ARBs end in
-sartan
ARB stands for
Angiotensin 2 Receptor Blocker
ARBs side effect to worry about is what nig?
ANGIOEDEMA (look for swelling in the lips)
Angiotensin Receptor Blockers (ARBs) are cautioned or shouldn’t be used during
Pregnancy (Can affect baby)
Renal artery stenosis (Decrease kidney perfusion)
Calcium channel blockers (CCBs) end in
-dipines
The 3 different classes of Calcium channel blockers are
Dihydropyridines (Die-hydro-peri-deens)
-dipines
Phenylakylamines (Feno-alka-mines)
*Verapamil
Benzothiazepines (Ben-zo-thigh-a-peens)
*Diltiazem
There are three kinds of CCBs because dihydropyridimes (-dipines) are more
Vasoselective (mainly effects blood vessels)
There are three kinds of CCBs because phenylalkamines (verapamil) and benzothiazepines (diltiazem) are more
Cardioselective (mainly effects the heart)
Or cardioselective and Vasoselective
The -dipines are used for
(Hypertension) Blood pressure
Diltiazem and verapamil are commonly used for
AFIB for rate control
The common side effect to look for with CCBs is
Peripheral edema (in the legs)
Constipation
Loop diuretics
-semide
The loop diuretic Ethacrynic Acid is different bc it can be given to someone with a
Sulfa allergy (unlike others)
Loop diuretics cause you to pee a lot and lose
Potassium and calcium
A side effect of loop diuretics to look out for is
Ototoxicity (tinnitus)