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Anti-Hypertensives
Anti-Hypertensives
25
Nursing
Undergraduate 3
04/10/2014

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Cards

Term
Central A2 agonist prototype
Definition
Clonidine/Catapres
Term
Clonidine/Catapres Effects
Definition
Stimulate A2 receptors in the brain which decreases SNS to periphery. Inhibits Norepinephrine release
Term
Catapres is used for?
Definition
HTN, opioid withdrawal
Term
Catapres S/E
Definition
Sedation, drowsiness lethargy, hypotension, ortho hypo, and weight gain. Impotence and ejaculatory dysfunction. Rebound HTN
Term
Implications of Catapres
Definition
Take in PM R/T sedation. Monitor weight. Counsel for sexual dysfunction. Rise slowly. Taper dose, monitor for rebound HTN, hard candy for dry mouth.
Term
Peripheral A1 blocker prototype
Definition
Minipress
Term
Minipress effects
Definition
Blocks A1 receptors on arteriolar smooth muscle causing vasodilation. Triggers a slight reflexive tachycardia
Term
Minipress is used for?
Definition
HTN when other meds are contraindicated
Term
Minipress S/E
Definition
Acute hypotension with early therapy (sedation, lethargy, weight gain, sexual dysfunction)
Term
Minipress implications
Definition
Take in PM. Monitor Weight. Counsel for sexual dysfunction. First dose can cause fainting!
Term
Calcium Channel Blocker Prototype
Definition
Verapamil/Calan
Term
Verapamil Effects
Definition
Smooth muscle relaxation by blocking calcium binding to receptors, which prevents muscle contraction.
Term
Verapamil is used for?
Definition
Angina, HTN, dysrhythmias, migraines
Term
Verapamil S/E
Definition
hypotension, constipation, peripheral edema
Term
Verapamil Implications
Definition
Teach to increase fluids and fiber foods; take before meals, limit caffeine.
Term
ACE inhibitor prototype
Definition
Catopril
Term
Catopril Effects
Definition
Inhibit ACE from converting Angiotension I to II, thus indirectly decreasing levels of aldosterone
Term
Catopril is used for?
Definition
HTN, CHF
Term
Catopril S/E
Definition
Acute hypotension with early therapy
Term
Catopril implications
Definition
Report signs of renal failure (increased weight, decreased urine output, edema)
Term
Angiotensin II inhibitor prototype
Definition
Losartan/Cozaar
Term
Losartan Effects
Definition
blocks the binding of angiotension II thus indirectly decreasing levels of aldosterone
Term
Losartan is used for?
Definition
HTN, Neuropathy
Term
Losartan S/E
Definition
Parkinson's syndrome, suicidal depression, gynecomastia, ulcers
Term
Implications Losartan
Definition
Take in AM, avoid K+ in sodium substitutes
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