COPY: 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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Dehydration (B)</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 (D)</p> Signup and view all the answers

What is hyperkalemia?

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

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

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

What is the key compound that ACE inhibitors end with?

<p>PRIL (B)</p> Signup and view all the answers

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

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

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

<p>Doxazosin, Prazosin, Terazosin (B)</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 (A)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>Doxazosin, Prazosin, and Terazosin (D)</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 (C)</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 (D)</p> Signup and view all the answers

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

<p>ARBS (A)</p> Signup and view all the answers

What is the primary risk associated with hypertension?

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

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

<p>Lower blood pressure (B)</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 (D)</p> Signup and view all the answers

What is hyperkalemia?

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

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

<p>False (B)</p> Signup and view all the answers

ARBS no not cause a dry cough.

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

Flashcards

Hypertension Threshold (60+)

Individuals aged 60 and over have a hypertension threshold of 150/90 mmHg.

Hypertension Threshold (Under 60)

Individuals under 60 have a hypertension threshold of 140/90 mmHg.

Hypertension Threshold (Diabetes/Kidney Disease)

For people with diabetes or kidney disease, hypertension is defined as 130/80 mmHg.

Alpha2-Adrenergic Receptor Stimulants

Medications that stimulate alpha2-adrenergic receptors, such as Clonidine, reduce renin activity in the kidneys.

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Combined Alpha and Beta-Blockade

Labetalol and Carvedilol are used to manage hypertensive crises by providing combined alpha and beta-blockade.

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ACE Inhibitors

ACE inhibitors are medications that contain the suffix "pril" and they are used to treat hypertension.

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ACE Inhibitor Side Effect (Dry Cough)

A persistent dry cough is a common side effect of ACE inhibitors.

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ACE Inhibitors & Diuretics: Hypotension Risk

Patients taking ACE inhibitors and diuretics should be educated about the risk of hypotension and potential dizziness due to the combined effects of these medications.

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ACE Inhibitors: Potassium Monitoring

Monitoring potassium levels in patients on ACE inhibitors is crucial to prevent hyperkalemia (high potassium levels).

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ACE Inhibitors & Diabetes: Renal Protection

The primary purpose of ACE inhibitors in hypertensive patients with diabetes is to protect the kidneys.

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Alpha1-Adrenergic Receptor Blockers

Medications that block alpha1-adrenergic receptors, like Doxazosin, effectively decrease blood pressure.

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Angiotensin II Receptor Blockers (ARBs)

ARBs, or Angiotensin II Receptor Blockers, contain the suffix "sartan" and they work by blocking the effects of angiotensin II to lower blood pressure.

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Orthostatic Hypotension Prevention

Educating patients to stand up slowly helps prevent orthostatic hypotension, a common side effect of antihypertensive medications.

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Heart-Healthy Diet for Hypertension

A heart-healthy diet rich in fruits, vegetables, whole grains, and low in sodium is recommended for managing hypertension.

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Hypertension Treatment Protocols

Drug therapy for hypertension generally follows similar treatment protocols for most patients.

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Calcium Channel Blockers

Calcium Channel Blockers prevent calcium from binding to receptors, reducing blood pressure.

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Alpha Blockers for BPH

Medications commonly used for benign prostatic hyperplasia (BPH) include alpha blockers such as Tamsulosin.

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Hypertension's Primary Risk

The primary risk associated with hypertension is cardiovascular disease.

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Vasodilators

Vasodilators directly relax blood vessels, which lowers blood pressure.

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Study Notes

Blood Pressure Thresholds

  • Hypertension threshold for individuals aged 60 and over is 150/90 mmHg.
  • Individuals under 60 have a hypertension threshold of 140/90 mmHg.
  • For people with diabetes or kidney disease, hypertension is defined as 130/80 mmHg.

Medication Types and Functions

  • Medications that stimulate alpha2-adrenergic receptors, such as Clonidine, reduce renin activity in the kidneys.
  • Labetalol and Carvedilol are used to manage hypertensive crises by providing combined alpha and beta-blockade.
  • The key compound ACE inhibitors end with is "pril."

Side Effects and Monitoring

  • A common adverse effect associated with ACE inhibitors is a persistent dry cough.
  • Patients taking ACE inhibitors and diuretics should be educated about the risk of hypotension and potential dizziness.
  • Monitoring potassium levels is essential for patients on ACE inhibitors due to the risk of hyperkalemia.

Functions of Specific Medications

  • The primary purpose of ACE inhibitors for hypertensive patients with diabetes is to provide renal protection.
  • Medications that block alpha1-adrenergic receptors, like Doxazosin, effectively decrease blood pressure.
  • ARBs (Angiotensin II Receptor Blockers), which end with the suffix "sartan," primarily function to block the effects of angiotensin II, lowering blood pressure.

Patient Education

  • Educating patients to stand up slowly helps prevent orthostatic hypotension, a common side effect of antihypertensive medications.

Diet and Lifestyle

  • A heart-healthy diet is recommended for managing hypertension, focusing on fruits, vegetables, whole grains, and low sodium.

Other Considerations

  • Drug therapy for hypertension generally follows similar treatment protocols for most patients.
  • Calcium Channel Blockers prevent the binding of calcium to receptors, reducing blood pressure.
  • Medications commonly used for benign prostatic hyperplasia (BPH) include alpha blockers such as Tamsulosin.

Risks Associated with Hypertension

  • The primary risk associated with hypertension is cardiovascular disease.

Role of Vasodilators

  • Vasodilators serve to directly relax blood vessels and lower blood pressure.

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