NR 565 Midterm - week 3 & 4
Leave the first rating
How to treat HTN
order of medications are typically prescribed in order based on COMPELLING INDICATIONS.
order of HTN meds
thiazides, angiotensin-covering enzym
...
NR 565 Midterm - week 3 & 4
Leave the first rating
How to treat HTN
order of medications are typically prescribed in order based on COMPELLING INDICATIONS.
order of HTN meds
thiazides, angiotensin-covering enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, beta blockers
HTN meds with diabetes
Angiotensin-covering enzyme inhibitors. "PRIL" drugs
HTN meds with pregnancy
labetalol and methyldopa. avoid ACEI's and ARB's if someone is in their childbearing years.
Mechanism of Action - Thiazides
increases renal excretion of water, sodium chloride and potassium
Mechanism of Action - Angiotensive-Converting Enzyme
Reduces levels of angiotensin II & increases levels of bradykinin. results in the prevention of vasoconstriction and aldosterone-mediated volume expression.
DRUG OF CHOICE FOR DM and/or CKD due to renal protection - avoid in AA population. "PRIL" drugs
Mechanism of Action - Angiotensin Receptor Blockers
Block angiotensin II receptors on blood vessels in the heart and adrenals, increases renal excretion of sodium and water. "INE" drugs - choice for AA population
Mechanism of Action - Calcium Channel Blockers (CCBs)
have both inotropic and chronotropic effect, meaning the heart gets both depressed and slowed down
HTN meds in AA population
should start with diuretics due to higher incidence of mortality from HTN AA treatment. Thiazides to CCB. ACEI's and BB should be used with this population only if there is comorbidities. (type 1 DM with proteinuria)
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