Antihypertensives include - ✔✔ -beta blockers
-ACE inhibitors
-ARB's
-Calcium Channel Blockers
-Loop Diuretics
-lol - ✔✔ Beta
... [Show More] Blockers
Beta Blocker Examples - ✔✔ -Acebutolol
-Atenolol
-Nadolol
-Metoprolol
-Propanolol
-Pindolol
-Esmolol
-Sotalol
-Labetalol
-Penbutolol
-Betaxolol
-Timolol
What do you worry about with Beta Blockers - ✔✔ -heart rate
-masks signs of hypoglycemia
Signs of hypoglycemia - ✔✔ -dyaphorisis (sweating)
-tachycardia
Do not give a beta blocker to someone who has a? - ✔✔ heart block
Beta Blockers biggest concern is? - ✔✔ Monitoring and checking the heart rate
-if too low, hold it
We give Beta Blockers for - ✔✔ -hypertension
-heart failure
-angina
-pril - ✔✔ ACE inhibitors
Examples of ACE inhibitors - ✔✔ -Lisinopril
-Enalapril
-Quinapril
-Ramipril
What do ACE inhibitors cause? - ✔✔ -dry cough
-hyperkalemia
-angioedema (not as common with ACE's)
What phenomenon do ACE inhibitors cause? - ✔✔ first dose phenomenon
What is first dose phenomenon? - ✔✔ can cause syncopy
If you can not take an ACE what will they put you on? - ✔✔ ARB
What do ACE inhibitors do? - ✔✔ prevents the conversion of angiotensin one to angiotensin two
What do ARB's do? - ✔✔ angiotensin 2 receptor blockers
-blocks the uptake of angiotensin two
-sartan - ✔✔ ARB
What do ARB's cause? - ✔✔ angioedema
-occurs in the lips and face
-medical emergency
ARB's are cautioned in what? - ✔✔ pregnancy
Examples of ARBs? - ✔✔ -Losartan
-Candesartan
-Valsartan
-Olmesartan
-dipines - ✔✔ Calcium Channel Blockers (CCB's)
-hypertension
Side effects of calcium channel blockers CCB's? - ✔✔ -low blood pressure
-peripheral edema (legs & feet)
-slows heart rate down
Examples of CCB's - ✔✔ -Nifedipine
-Felodipine
-Amlodipine
Verapamil is a? - ✔✔ Calcium channel blocker, CCB
Verapamil causes? - ✔✔ constipation
-dipines are what? - ✔✔ hypertensive CCB's
Verapamil and diltiazem are what? - ✔✔ cardioselective CCB's
Loop diuretics are very? - ✔✔ powerful diuretics
-semide - ✔✔ loop diuretics (loop die rocket hen on a semi)
Which people can you not give loop diuretics to? - ✔✔ someone with a sulfa allergy
Loop diuretics lose? - ✔✔ everything
-potassium
-calcium
If you are giving a high dose or IV or Loop diuretics what are we looking for?? - ✔✔ Ototoxisisty
-TINNITUS is the main sign!!!
What is the main sign of ototoxisisity? - ✔✔ tinnitus
Examples of Loop Diuretics? - ✔✔ -Furosemide
-Torsemide
-Bumetanide
-Ethacrynic Acid (can give to person with a sulfa allergy)
Why is ethacrynic acid a loop diuretic? - ✔✔ because it works to flush things out but it can be given to a pt. who is allergic to sulfa!
Which loop diuretic can a pt. with a sulfa allergy have? - ✔✔ ethacrynic acid
Thiazide diuretics do not lose what? - ✔✔ calcium
Antibiotics include? - ✔✔ -tetracyclines
-penicillins
-aminoglycosides
-macrolides
-cephalosporins
-fluoroquinolones
-cycline - ✔✔ tetracyclines
Do not take tetracyclines with? - ✔✔ -iron
-milk
-antacids
Why can you not tetracyclines with things that contain calcium, iron, or magnesium? - ✔✔ Binds to these and keeps them from being absorbed
Something to remember with tetracyclines? - ✔✔ -bones
-calcium
-cations
Do NOT give tetracyclines to? - ✔✔ -pregnant women
-children under 8
Why can't pregnant women or children under 8 receive tetracyclines? - ✔✔ keeps bones from developing
Common side effect of tetracyclines? - ✔✔ photosensitivity!!
-use sunscreen and sun protection
yellows teeth
brittle bones
Examples of Tetracyclines? - ✔✔ -Tetracycline
-Doxycycline
Examples of Penicillins? - ✔✔ -Penicillin
-Ampicillin
-Amoxicillin
-cillin - ✔✔ penicillins (pencil villain)
What do we worry about with penicillins? - ✔✔ patient allergies
Penicillins really work with which bacteria? - ✔✔ gram+ bacteria
Examples of Amioglycosides? - ✔✔ -Gentamicin
-Neomycin
-Amikacin
-Tobramycin
-Streptomycin [Show Less]