ACEvnInhibitorsvn(-pril)
ARBsvn(-sartan)
(Antihypertensives:vnlowervnBP)vn-vncorrectvnanswer✔ ✔
ActvntovnlowervnBPvn(notvnHR!)
S/E:vnOrthostaticvnHypotensionvn=vnSLOWvnpositionvnchanges
DovnwevngivevnACEvnandvnARBsvnifvnthevnHRvn<vn60?vn
YESvn-->vnthesevnhavevnnovnaffectvnonvnHR,vnonlyvnBP
DecreasesvnSodiumvnandvnWater
INCREASESvnPotassium
Keyvnnotes:
-vnAvoidvngivingvntovnpregnantvnpatients
-
ACEvncanvncausevnangioedema,vncough,vnelevatesvnpotassiumvn(increasedvn
vn
K+vn>vn5.0)
-vnARBsvnusedvntovndecreasevndryvncoughvnandvntheyvnsparevnPotassium
,AvoidvnfoodvnhighvninvnPotassiumvnwithvnACEvninhibitorsvn(-
prils)vnsuchvnas:vn-vncorrectvnanswer✔ ✔ -vnGreenvnleafyvnvegetables
-vnOranges
-vnBananas
-vnAvocado
-vnMelon
-vnDriedvnapricot
-vnKidneyvnbeansvn
AlsovnsaltvnsubstitutesvnandvnLIVER
Potassiumvn>vn5.0vnEKGvnchangesvn-vncorrectvnanswer✔ ✔
PeakedvnTvnwaves,vnSTvnelevationvn
(musclevnspasms)
**AnyvnPotassiumvnlevelvnhighvnorvnlow,vnfistvnactionvnbyvnthevnnursevnis:vnCA
RDIACvnMONITOR
BetavnBlockers:vnLowersvnHRvn&vnBP
(-lol)vn-vncorrectvnanswer✔ ✔ (LowersvnHRvn&vnBP)
,WhatvnarevnthevnthreevnnegativevntropicsvnforvnBetavnBlockers?
1.vnNegativevnchronotropicvn(lowervnrate)
2.vnNegativevnInotropicvn(lessvnforce)
3.vnNegativevndromotropicvn(lessvnbeats)
Thevnabovevntropicsvnmean:
1.vnDecreasesvnresistance
2.vnDecreasesvnworkload
3.vnDecreasesvncardiacvnoutput
DOvnNOTvnGIVEvntovnCOPDvnorvnASTHMAvnpt's
---->vncausesvnbronchospasm
MostvndangerousvnsidevneffectsvnofvnBetavnblockers:vn-vncorrectvnanswer✔
✔ 1.vnBradycardiavn
--->vnHRvn<vn60vnandvnSystolicvnBPvn<vn90vnorvn<vn100
(HOLDvnDRUG)
2.vnBreathingvnproblemsvn(wheezing)
--->vnHOLDvnforvnCOPDvnandvnAsthmavnpt's
, 3.vnBADvnforvnHeartvnfailuresvnpt's!
--->vncanvnworsenvnheartvnfailure
***---
>vnNewvnedema,vnworseningvncracklesvninvnthevnlungs,vnrapidvnweightvngain,vnn
ewvnJVD***
AllvnindicatevnworseningvnHRvn=vnPRIORITYvnreportvntovnHCP
4.vnCanvnmask/hidevnthevnsignsvnandvnsymptomsvnofvnHypoglycemiavn(Lowvnb
loodvnsugar)
--->vnMonitorvnbloodvnsugarvncloselyvn
<vn70vnquestionvnmedication
CalciumvnChannelvnblockers:vnCalmsvnthevnheart!
Nifedipinevn(onlyvndecreasesvnBP)
Cardizemvn(decreasesvnBPvnandvnHR
Verapamilvn(decreasesvnBPvnandvnHR)vn-vncorrectvnanswer✔ ✔
Keyvnnursingvnconsiderations:
-vnALWAYSvnbeforevngivingvnthevndrugvn--
>vnAssessvnHRvnandvnBP,vnHOLDvndrugvnif:
IfvnBPvnsystolicvn<100