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Drugs for Hypertension Treatment
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Drugs for Hypertension Treatment

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Questions and Answers

What is the therapeutic use of Ondansetron (Zofran)?

  • To treat autoimmune diseases
  • To prevent nausea and vomiting (correct)
  • To treat peptic ulcers
  • To treat rabies
  • What is the class of Methotrexate?

  • Anticholinergic
  • Disease Modifying Antirheumatic Drug (DMARD) (correct)
  • Dopamine Antagonist
  • Serotonin Antagonist
  • What is the prototype of H2 Blockers?

  • Omeprazole
  • Cimetidine (correct)
  • Famotidine
  • Ranitidine
  • What is the therapeutic use of Scopolamine (Transderm Scop)?

    <p>To prevent nausea and vomiting</p> Signup and view all the answers

    What is the class of Famotidine?

    <p>H2 Blocker</p> Signup and view all the answers

    What class of drugs is represented by Verapamil, a prototype drug that treats hypertension?

    <p>Calcium Channel Blockers</p> Signup and view all the answers

    What is the therapeutic use of Furosemide, a loop diuretic?

    <p>Treating heart failure</p> Signup and view all the answers

    What is the prototype drug of Class III antiarrhythmics, which are potassium channel blockers?

    <p>Amiodarone</p> Signup and view all the answers

    What is the therapeutic use of Hydralazine, a vasodilator?

    <p>Treating heart failure</p> Signup and view all the answers

    What class of drugs is represented by Ezetimibe, a prototype drug that treats high cholesterol?

    <p>Cholesterol Absorption Inhibitors</p> Signup and view all the answers

    Study Notes

    Here are the study notes:

    • Drugs to Treat Hypertension*

    RASS Drugs

    • Class: ACE Inhibitors/Angiotensin Receptor Blockers
      • Prototype: Lisinopril & Losartan
    • Class: Aldosterone Antagonists
      • Prototype: Eplerenone (Inspra) & Spironolactone (potassium-sparing diuretic)
    • Class: Direct Renin Inhibitors
      • Prototype: Aliskiren
    • Class: Thiazide Diuretics
      • Prototype: Hydrochlorothiazide

    Vasodilators

    • Class: Calcium Channel Blockers
      • Prototype: Nifedipine & Verapamil (Calan)
    • Class: Direct Vasodilators
      • Prototype: Hydralazine (dilate arterials) & Isosorbide Dinitrate (dilate veins)
    • Class: Sodium Nitroprusside
      • Prototype: Sodium Nitroprusside (has a direct effect on blood vessels)
    • Drugs to Treat Heart Failure*

    Heart Failure Drugs

    • Class: Vasodilators
      • Prototype: Hydralazine (dilate arterials) & Isosorbide Dinitrate (dilate veins)
    • Class: Loop Diuretics
      • Prototype: Furosemide (Lasix)
    • Class: Cardiac Glycosides
      • Prototype: Digoxin (Lanoxin)
    • Class: Inotropes
      • Prototype: Dopamine (has some alpha 1 effects) & Dobutamine (selective for beta 1)
    • Drugs to Treat Cardiac Rhythms*

    Cardiac Rhythm Drugs (Part 1)

    • Class: 1A Antiarrhythmics
      • Prototype: Quinidine
    • Class: 1B Antiarrhythmics
      • Prototype: Lidocaine (Xylocaine)
    • Class: II Antiarrhythmics
      • Prototype: Propranolol (Inderal)
    • Class: III Antiarrhythmics (Potassium Channel Blockers)
      • Prototype: Amiodarone (Cordarone)

    Cardiac Rhythm Drugs (Part 2)

    • Class: IV Antiarrhythmics (Calcium Channel Blockers)
      • Prototype: Verapamil
    • Class: V Antiarrhythmics
      • Prototype: Adenosine
    • Class: Cardiac Glycosides
      • Prototype: Digoxin
    • Drugs to Treat Angina*

    Angina Drugs

    • Class: Organic Nitrates
      • Prototype: Nitroglycerin
    • Class: Beta Blockers
      • Prototype: Metoprolol
    • Class: Calcium Channel Blockers
      • Prototype: Verapamil & Nifedipine
    • Drugs to Treat High Cholesterol*

    Cholesterol Medications

    • Class: HMG-CoA Reductase Inhibitors
      • Prototype: Atorvastatin (Lipitor)
    • Class: Cholesterol Absorption Inhibitors
      • Prototype: Ezetimibe (Zetia)
    • Class: Bile Acid Sequestrants
      • Prototype: Colesevelam (Welchol)
    • Class: Niacin
      • Prototype: Niaspan
    • Class: CAM (Omega-3 Fatty Acids)
      • Prototype: Lovaza (Fish Oil)
    • Drugs to Treat Thromboembolic Disorders*

    Anticoagulants

    • Class: Unfractioned Heparin
      • Prototype: Heparin
    • Class: Low Molecular Weight Heparin
      • Prototype: Enoxaparin (Lovenox)
    • Class: Vitamin K Antagonists
      • Prototype: Warfarin (Coumadin)
    • Class: Direct Thrombin Inhibitors
      • Prototype: Dabigatran (Pradaxa)
    • Class: Direct Factor Xa Inhibitors
      • Prototype: Rivaroxaban
    • Drugs to Treat PUD & GERD*

    PUD & GERD Drugs

    • Class: Antiplatelet Drugs
      • Prototype: Aspirin
    • Class: P2Y12 ADP Receptor Antagonists
      • Prototype: Clopidogrel (Plavix)
    • Class: Thrombolytics
      • Prototype: Alteplase (tPa)### Anti-Ulcer Drugs
    • Antisecrettory agents (Pylori eradication) include antibiotics and neutralize acid or pepsin.
    • H2 blockers (e.g. Famotidine) reduce acid production.
    • PPIs (e.g. Omeprazole) inhibit the H+/K+ ATPase enzyme.
    • Mucosal protectants (e.g. Sucralfate) protect the stomach lining.
    • Antacids (e.g. Calcium Carbonate) neutralize stomach acid.

    Therapeutic Use

    • To treat gastroesophageal reflux disease (GERD), peptic ulcers, and erosive esophagitis.

    Adverse Effects

    • Diarrhea, headache, and abdominal pain.

    Individual Variations

    • Variations in patient response and dosage.

    DDIs

    • Drug interactions with antacids, histamine blockers, and PPIs.

    Nursing Implications

    • Monitor for signs of GERD, educate patients on medication administration, and provide support for side effects.

    Autoimmune Diseases

    • Classifications include disease-modifying antirheumatic drugs (DMARDS) and biologics.

    Prototype Drugs

    • Methotrexate (Rheumatrex) and Cyclosporine (Sandimmune) for DMARDS.
    • Etanercept (Enbrel) and Predisone for biologics.

    Therapeutic Use

    • To treat rheumatoid arthritis and other autoimmune diseases.

    Adverse Effects

    • Nausea, vomiting, and diarrhea.

    Individual Variations

    • Variations in patient response and dosage.

    DDIs

    • Drug interactions with NSAIDs and other immunosuppressants.

    Nursing Implications

    • Monitor for signs of autoimmune disease, educate patients on medication administration, and provide support for side effects.

    Vaccines

    • Classifications include inactivated, conjugate, and live vaccines.

    Prototype Vaccines

    • Inactivated influenza vaccine (e.g. Trivalent).
    • Conjugate pneumococcal vaccine (e.g. PCV13).
    • Live zoster vaccine (e.g. Zostavax).
    • mRNA COVID-19 vaccines (e.g. Pfizer, Moderna).

    Therapeutic Use

    • To prevent influenza, pneumonia, and COVID-19.

    Adverse Effects

    • Injection site reactions, fever, and headache.

    Individual Variations

    • Variations in patient response and dosage.

    DDIs

    • Drug interactions with immunoglobulins and other vaccines.

    Nursing Implications

    • Monitor for signs of vaccine-preventable disease, educate patients on vaccination administration, and provide support for side effects.

    Anti-Nausea and Vomiting Drugs

    • Classifications include serotonin antagonists, dopamine antagonists, and anticholinergics.

    Prototype Drugs

    • Ondansetron (Zofran) for serotonin antagonists.
    • Promethazine (Phenergan) for dopamine antagonists.
    • Scopolamine (Transderm Scop) for anticholinergics.

    Therapeutic Use

    • To treat nausea and vomiting.

    Adverse Effects

    • Headache, dizziness, and diarrhea.

    Individual Variations

    • Variations in patient response and dosage.

    Nursing Implications

    • Monitor for signs of nausea and vomiting, educate patients on medication administration, and provide support for side effects.

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    Description

    This quiz covers different types of drugs used to treat hypertension, including RASS, Diuretics, ACE Inhibitors, and more. Learn about the classification and mechanisms of action of these drugs.

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