HOME MEDS PARAMEDIC SCHOOL

Atenolol - Trade Name

Tenormin

Atenolol - Class

Beta blocker

Atenolol - Uses

Hypertension, angina, rate control

Atenolol - Prehospital Significance

May cause bradycardia, hypotension, AV block, and mask hypoglycemia

Carvedilol - Trade Name

Coreg

Carvedilol - Class

Beta Blocker

Carvedilol - Uses

Heart failure, hypertension, CAD

Carvedilol - Prehospital Significance

May cause bradycardia, hypotension, AV block, and bronchospasm

Metoprolol - Trade Name

Lopressor, Toprol-XL

Metoprolol - Class

Beta blocker

Metoprolol - Uses

Hypertension; CAD; heart failure; AF rate control

Metoprolol - Prehospital Significance

May cause bradycardia, hypotension, AV block, and mask hypoglycemia

Propranolol - Trade Name

Inderal

Propranolol - Class

Beta blocker

Propranolol - Uses

Hypertension, tremor, migraine prevention, portal hypertension, anxiety

Propranolol - Prehospital Significance

May cause bradycardia, hypotension, bronchospasm, and mask hypoglycemia. Severe overdose reaction.

Amlodipine - Trade Name

Norvasc

Amlodipine - Class

Calcium Channel Blocker

Amlodipine - Uses

Hypertension; angina

Amlodipine - Prehospital Significance

May cause hypotension and peripheral edema; overdose can produce vasodilatory shock.

Diltiazem - Trade Name

Cardizem

Diltiazem - Class

Calcium Channel Blocker

Diltiazem - Uses

AF/SVT rate control; hypertension; angina

Diltiazem - Prehospital Significance

May cause bradycardia, hypotension, AV block, and worsening systolic heart failure.

Lisinopril - Trade Name

Prinivil, Zestril

Lisinopril - Class

ACE Inhibitor

Lisinopril - Uses

Hypertension; heart failure; kidney protection

Lisinopril - Prehospital Significance

May cause hypotension, hyperkalemia, renal dysfunction, cough, or angioedema

Losartan - Trade Name

Cozaar

Losartan - Class

Angiotensin II receptor blocker (ARB)

Losartan - Uses

Hypertension; heart failure; kidney protection

Losartan - Prehospital Significance

May cause hypotension, hyperkalemia, and renal dysfunction.

Hydroclorothiazide (HCTZ) - Trade Name

Microzide

Hydroclorothiazide (HCTZ) - Class

Diuretic

Hydroclorothiazide (HCTZ) - Uses

Hypertension; edema

Hydroclorothiazide (HCTZ) - Prehospital Significance

Should assess for dehydration, orthostasis, hyponatremia, hypokalemia, hyperglycemia, and gout

Spirolactone - Trade Name

Aldactone

Spirolactone - Class

Diuretic

Spirolactone - Uses

Heart failure; resistant hypertension; ascites

Spirolactone - Prehospital Significance

Suggests HF or cirrhosis; assess hyperkalemia, renal dysfunction, and hypotension.