Pharmacothérapie de l'hypertension artérielle

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Pharmacothérapie de l'hypertension artérielle

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Fiche aide mémoire : pharmacothérapie de l'hypertension artérielle

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Traitement hypertension artérielle

Diurétique thiazidique
mode d’action
diminution de la réabsorption Na+ et CL- = baisse réabsorption eau

Surveillance
Pression artérielle

exemple de médicaments
Hydrochlorothiazide
Chlortalidone (Hygroton)
Indapamine (Lozide)

Inhibiteurs de l’enzyme de conversion de l’angiotensine
mode d’action
IECA empêche l’angiotensine I de se transformer en angiotensine II
Dégradation de bradykinine ⟶ entraine toux sèche

Surveillance
Pression artérielle

Effets secondaires
Toux sèche
Oedème
Hyperkaliémie

exemple de médicaments
** fini en PRIL **

Antagoniste des récepteurs de l’angiotensine II
mode d’action
L’angiotensine II ne peut plus agir, car les ARA bloquent les récepteurs où
l’angiotensine se lie normalement

, Surveillance
Pression artérielle

Effets secondaires
hypovolémie
Hyperkaliémie

exemple de médicaments
** fini en SARTAN **

Inhibiteurs de la rénine
Surveillance
Pression artérielle

Effets secondaires
toux
oedème
Hyperkaliémie

exemple de médicaments
Aliskirène (Rasilez)

Inhibiteurs des récepteurs adrénergiques (bêta-bloquant)
mode d’action
Cardiosélectif : non-cardiosélectif :
Inhibe la stimulation récepteurs B1 SNS du coeur Inhibe la stimulation récepteurs B1 et B2
SNS du coeur
Diminution PA, FC et contractilité

Surveillance
Pression artérielle et fréquence cardiaque

Effets secondaires (cardiosélectifs)
Bradycardie
Insuffisance cardiaque
OAP

Document information

Study: Soins infirmiers
Uploaded on: December 8, 2025
Number of pages: 5
Written in: 2025/2026
Type: Class notes
Professor(s): Mary-loup
Contains: All classes

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