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*NURSING > EXAM > NR 565 Midterm - week 3 & 4 (All)

NR 565 Midterm - week 3 & 4

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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, angiot ... ensin-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) [Show More]

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