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NR293: Antihypertensive Drugs (Chapter 22) Questions and Answers Latest Update

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NR293: Antihypertensive Drugs (Chapter 22) Questions and Answers Latest Update

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NR293: Antihypertensive Drugs (Chapter 22)
Questions and Answers Latest Update

What are the categories of drugs used to treat hypertension? Ans: Diuretics

Adrenergic drugs (5 subtypes)

Vasodilators

Angiotensin converting enzyme (ACE) inhibitors

Angiotensin receptor blockers (ARBs)

Calcium channel blockers (CCBs)

Direct renin inhibitors

What are the functions of diuretics? Ans: Decrease plasma and extracellular
fluid volumes.

Decrease preload; decrease workload of the heart; decrease blood pressure.

What are the functions of alpha 2 receptor agonists? Ans: Examples:
Clonidine (Catapres); methyldopa (Aldomet)

Stimulates adrenergic receptors in the brain.

Results in decreased blood pressure.

What are the indications for alpha 2 receptor agonists? Ans: Hypertension



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Symptoms of opioid withdrawal

What are the adverse effects of alpha 2 receptor agonists? Ans: Orthostatic
hypotension

Fatigue

Dizziness

Dry mouth

Do not stop abruptly; may cause rebound hypertension.

What are the functions of alpha 1 receptor antagonists? Ans: "-azosin"

Examples: Doxazosin (Cardura), terazosin (Hytrin), prazosin (Minipress)

Block alpha 1 adrenergic receptors in blood vessels.

Prevents vasoconstriction

What are the indications for alpha 1 receptor antagonists? Ans: Severe heart
failure

Symptoms of BPH; increased urinary flow rate (tamsulosin (Flomax))

What are the adverse effects of alpha 1 receptor antagonists? Ans: Serious:
Hypotension, first dose syncope

Give at bedtime, especially first dose!

Dizziness

Headache

What are the functions of beta blockers? Ans: "-olol"


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