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  • Hypertension Drug Therapy Pharm Concept Map 2

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    Hypertension Concept Map

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    hypertension drug therapy pharm concept map 2

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    Hypertension Concept Map

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views1 page

    Hypertension Drug Therapy Pharm Concept Map 2

    Uploaded by

    Stacey
    Hypertension Concept Map

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Angiotensin-converting enzyme (ACE) Angiotensin II receptor blockers (ARBs): Antiadrenergics:

    inhibitors: Lisinopril (Prinivil) / Captopril Losartan (Cozaar)


     Antihypertensives
     Antihypertensive/ -pril suffix  Antihypertensive/ -tan suffix
     Action: inhibits activity of the SNS,
     Route: PO  Action: instead of decreasing production of causing decreased BP
     Action: by blocking production of angiotensin II, they block the vasoconstricting
     Alpha1-adrenergic receptor blockers:
    angiotensin II, decreases & aldosterone-secreting effects of angiotensin
    Prazosin (Minipress) dilate blood
    vasoconstriction & decreases II at various receptor sites
    vessels and decrease peripheral
    aldosterone production (reduces  Do not cause cough & hyperkalemia resistance
    retention of sodium & water). Also,  Adverse effects: dizziness, muscle cramps,  Alpha 2 agonists: Clonidine
    inhibits the breakdown of bradykinin weakness, heartburn, diarrhea, angioedema (Catapres) cause the release of less
    (prolongs vasodilation)  NI: assess BP, lifestyle modifications norepinephrine and a reduction of
     Adverse effects: persistent cough,  Patient Edu: take without regards to meals sympathetic outflow from the
    hypertension, hyperkalemia,  This drug is a teratogenic, so do not use vasomotor center. Decreased CO, HR,
    neutropenia, proteinuria, during pregnancy peripheral vascular resistance and BP
    glomerulonephritis, angioedema  Beta-Adrenergic Blockers:
     NI: administer 1 hr before or 2 hrs Metoprolol (Lopressor) decrease HR,
    after meal because absorption force of myocardial contraction, CO,
    reduced by food; assess BP & pulse, and renin release from the kidneys
    lifestyle modifications Hypertension  NI: Monitior HR, BP, orthostatic
     This drug is a teratogenic, so do not hypotension
    Drug Therapy
    use during pregnancy

    Calcium Channel Blockers: Amlodipine


    (Norvasc)
     Antihypertensive/ may be prescribed with Diuretics:
    a thiazide diuretic or used alone  Mild to moderate HTN/ 1st line Direct Vasodilators: Nitroprusside (Nitopress)
     Action: inhibits the influx of calcium ions therapy  Used for HTN & heart failure
    across cardiac and smooth muscle during  Initially decreases blood volume  Route: IV
    depolarization, resulting in relaxation & & CO but continues to decrease  Directly relaxes the smooth muscle in
    vasodilation peripheral vascular resistance blood vessels, resulting in dilation and
     Adverse effects: h/a, drowsiness, fatigue,  May need to be combine with decreased peripheral vascular resistance
    dizziness, edema of hands, ankles, and another antihypertensive  NI: continuous BP monitoring
    feet, flushing, palpitations, nausea  3 main types:
    abdominal pain  Thiazide (Hydrochlorothiazide)
     NI: Assess BP and lifestyle modifications,  Loop (Furosemide)
    given without regard to food  Potassium sparing
     Patient Edu: avoid grapefruit juice & St. (Spironolactone)
    John’s Wort

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