Chapter 22 pharm
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Questions and Answers

What is the blood pressure threshold for hypertension in people aged 60 and over?

  • 140/90
  • 150/90 (correct)
  • 160/100
  • 130/80
  • Which type of medication stimulates alpha2-adrenergic receptors to reduce renin activity in the kidneys?

  • Clonidine (correct)
  • Doxazosin
  • Terazosin
  • Prazosin
  • What adverse effect is associated with ACE inhibitors?

  • Hypokalemia
  • Hypoglycemia
  • Dry cough (correct)
  • Tachycardia
  • What is the purpose of Labetalol and Carvedilol in hypertensive crisis?

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

    What is the recommended first-line antihypertensive medication for patients without kidney disease or heart failure?

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

    What side effect should patients be educated about when taking ACE inhibitors and diuretics?

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

    What is the purpose of ACE inhibitors in patients with hypertension who are diabetic?

    <p>To protect the kidneys</p> Signup and view all the answers

    What is hyperkalemia?

    <p>High potassium levels</p> Signup and view all the answers

    What is the blood pressure threshold for hypertension in people younger than 60?

    <p>140/90</p> Signup and view all the answers

    What is the key compound that ACE inhibitors end with?

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

    Why should patients taking ACE inhibitors be monitored for potassium levels?

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

    Which medication blocks alpha1-adrenergic receptors to decrease blood pressure?

    <p>Doxazosin, Prazosin, Terazosin</p> Signup and view all the answers

    What is the primary purpose of ACE inhibitors in patients with hypertension?

    <p>Prevent heart failure and protect kidneys</p> Signup and view all the answers

    What type of diet is recommended for a heart-healthy approach to managing hypertension?

    <p>Low sodium with lots of vegetables, chicken, eggs, and whole wheat foods</p> Signup and view all the answers

    What is the blood pressure threshold for hypertension in people with diabetes or kidney disease?

    <p>140/90</p> Signup and view all the answers

    Which medications are used for BPH (benign prostatic hyperplasia)?

    <p>Doxazosin, Prazosin, and Terazosin</p> Signup and view all the answers

    What is the primary function of ARBs (Angiotensin II Receptor Blockers) in hypertension treatment?

    <p>Lowering blood pressure</p> Signup and view all the answers

    What is the primary purpose of educating patients to stand up slowly when taking hypertension medications?

    <p>To prevent dizziness caused by hypertension medications</p> Signup and view all the answers

    What class of medications end with the suffix 'SARTAN' as mentioned in the text?

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

    What is the primary risk associated with hypertension?

    <p>Heart disease</p> Signup and view all the answers

    What is the purpose of Vasodilators in the treatment of hypertension?

    <p>Lower blood pressure</p> Signup and view all the answers

    What is the primary function of ARBS (Angiotensin II Receptor Blockers) in hypertension treatment?

    <p>To reduce renin activity in the kidneys</p> Signup and view all the answers

    What is hyperkalemia?

    <p>Excessive potassium levels in the blood</p> Signup and view all the answers

    What is the purpose of educating patients to stand up slowly when taking hypertension medications?

    <p>To avoid dizziness and falls due to sudden drops in blood pressure</p> Signup and view all the answers

    Drug therapy for HTN is common, so treatment is the same to most all patients.

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

    ARBS no not cause a dry cough.

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

    Calcium Channel Blockers block the binding of calcium to their receptors.

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

    Study Notes

    Hypertension Management

    • In people aged 60 and over, the blood pressure threshold for hypertension is 150/90 mmHg.
    • In people younger than 60, the blood pressure threshold for hypertension is 140/90 mmHg.
    • In people with diabetes or kidney disease, the blood pressure threshold for hypertension is 130/80 mmHg.

    Medications for Hypertension

    • Alpha-2 agonists stimulate alpha2-adrenergic receptors to reduce renin activity in the kidneys.
    • ACE inhibitors end with the compound "-pril" and are used to reduce blood pressure.
    • ACE inhibitors can cause a dry cough and hyperkalemia (high potassium levels).
    • ARBs (Angiotensin II Receptor Blockers) block the action of angiotensin II, reducing blood pressure.
    • ARBs have the suffix "SARTAN" and are used to reduce blood pressure.
    • Vasodilators relax blood vessels, reducing blood pressure.
    • Calcium Channel Blockers block the binding of calcium to their receptors, reducing blood pressure.
    • Labetalol and Carvedilol are used to manage hypertensive crisis.
    • Alpha-1 blockers, such as Doxazosin, block alpha1-adrenergic receptors to decrease blood pressure.

    Patient Education

    • Patients taking ACE inhibitors and diuretics should be educated about the risk of hyperkalemia.
    • Patients should be educated to stand up slowly when taking hypertension medications to reduce the risk of orthostatic hypotension.

    Diet and Lifestyle

    • A heart-healthy diet is recommended for managing hypertension.

    Risks and Complications

    • Uncontrolled hypertension increases the risk of heart disease, stroke, and kidney disease.
    • Hyperkalemia is a potential complication of ACE inhibitor therapy.

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