Blood Pressure Meds

Name the 5 blood pressure classes + their meds

ACE inhibitors: Lisinopril

ARBs: Losartan

Beta 1 blockers: Metoprolol

Calcium channel blockers: Amlodipine

Diuretics: Furosemide and Hydrochlorothiazide

Lisinopril - Contraindication

Hypersensitivity, history of angioedema w/ ACE inhibitors

Lisinopril - SE/AE

Angioedema

Dry Cough

Elevated K levels (hyperkalemia)

Hypotension

Lisinopril - Nursing consideration

Monitor BP

Monitor potassium levels

Monitor for signs of angioedema

Lisinopril - Patient consideration

Take as directed

Get up/change positions slowly

Call HCP if there are signs of swelling

Losartan - Contraindications

Hypersensitivity

Severe hepatic/renal impairment

Losartan - SE/AE

Angioedema

Dry Cough

Elevated K (hyperkalemia)

Hypotension

Losartan - Nursing considerations

Monitor BP

Monitor potassium

Monitor for signs of swelling/angioedema

Losartan - Patient considerations

Change positions slowly

Take as directed

Contact HCP if there’s signs of swelling in face/difficulty breathing

Metoprolol contraindications

Asthma, HF, COPD

Metoprolol SE/AE

bradycardia, bronchospasm, low BP, heart block

Metoprolol nursing considerations

monitor BP, HR, EKG, daily weight

Metoprolol patient considerations

change positions slowly

take as directed

report low HR or RR

Amlodipine contraindications

hypersensitivity

systolic BP <90

Amlodipine SE/AE

peripheral edema

reflux tachycardia

bradycardia

hypotension

Amlodipine nursing consideration

monitor HR, BP, signs of peripheral edema

Amlodipine patient considerations

take as directed

contact HCP if HR <50 bpm

avoid driving

Furosemide + Hydrochlorothiazide contraindications

hypersensitivity

anuria (no urine production)

Furosemide + Hydrochlorothiazide SE/AE

SJS

hypokalemia

hypotension

Furosemide + Hydrochlorothiazide nursing consideration

monitor skin changes (rash), K levels, BP, and urine output

Furosemide + Hydrochlorothiazide patient considerations

stay hydrated

change positions slowly

eat K rich foods

take as directed