Pharmacology Hypertension

NCLEX REVIEW PHARMACOLOGY

Drugs Used for treating Hypertension:

♣ ACE INHIBITORS

♥ BETA BLOCKERS

♦ CALCIUM CHANNEL BLOCKERS

 REMEMBER FOR YOUR NCLEX EXAM:

  • ACE INHIBITOR
  1. – ACE INHIBITORS “BLOCKS” THE CONVERSION OF ANGIOTENSIN 1 TO ANGIOTENSIN 2.
  2. – ALTERS THE “BLOOD PRESSURE” MECHANISM THROUGH THE RENIN-ANGIOTENSIN SYSTEM.
  3. MEDICATIONS INCLUDES THE “PRIL” : CATOPRIL, ENALAPRIL, LISINOPRIL, RAMIPRIL.
  4. SIDE EFFECTS: COUGH, TACHYCARDIA, NAUSEA AND VOMITING.
  5. GIVE ON AN EMPTY STOMACH OR 2-3 HRS. AFTER A MEAL.
  • BETA BLOCKERS
  1. – REDUCES THE CARDIAC OUTPUT AND DECREASES THE SYMPATHETIC NERVOUS SYSTEM RESPONSE.
  2. – BLOCKS THE BETA RECEPTOR, CAUSING A DECREASE IN BLOOD PRESSURE.
  3. – MEDICATIONS INCLUDE THE “OLOL’S”: METROPOLOL, PROPANALOL, ACEBUTOLOL, NADOLOL.
  4. – USED FOR HYPERTENSION, MYOCARDIAL INFARCTION AND ANGINA.
  5. – ADVERSE EFFECTS CAN INCLUDE: BRADYCARDIA, HYPOTENSION AND HYPOGLYCEMIA (DISTRUPTS THE LIVER’S ABILITY TO CONVERT GLYCOGEN TO GLUCOSE).
  • CALCIUM CHANNEL BLOCKERS
  1. – PREVENTS THE MOVEMENT MECHANISM OF CALCIUM WITHIN THE CARDIAC SYSTEM.
  2. – THEREFORE DECREASING THE CARDIAC WORKLOAD, AND CARDIAC MUSCLE CONTRACTILIY.
  3. – MEDICATIONS INCLUDE THE “DIPINE” : DILITAZEM (CARDIZEM), AMLOPIDINE (NORVASC), NEFEDIPINE, NICARDIPINE.
  4. – USED TO TREAT ANGINA.

 

 

CARDIAC GLYCOSIDES

Digoxin

  • IS A CARDIAC GLYCOSIDE
  • AN ANTIARRYTHMIC
  • IT INCREASES CARDIAC OUTPUT
  • SLOWS DOWN THE HEART RATE

Watch for Digoxin Toxicity:

Assessment and Signs of Digoxin Toxicity:

  • VISION CHANGES (HALO EFFECT)
  • NAUSEA AND VOMITING
  • BRADYCARDIA AND ANOREXIA
  • ANOREXIA

 

ANTICOAGULANTS

Avoid Herbs such as  ‘G’ HERBS (GINSING, GINGER, GINKO, GARLIC) when using anticoagulant drugs.

Aspirin

  • CAN ALSO BE USED AS A BLOOD THINNER
  • IRRITATES THE STOMACH AND INTESTINES
  • WATCH OUT FOR “BLACK TARRY” LOOKING STOOLS (COULD BE A SIGN OF INTESTINAL BLEEDING)
  • NEVER GIVE YOUR CHILDREN ASPIRIN, CAN CAUS  REYE’S SYNDROME.

Heparin:

  • MAKE SURE TO CHECK THE PTT
  • ANTIDOTE IS PROTAMINE SULFATE
  • CAN BE SAFELY GIVEN DURING PREGNANCY.

Coumadin

  • CHECK THE PT AND THE INR
  • ANTIDOTE IS VITAMIN K

Lovenox

  • LOVENOX, ALSO CALLED ENOXAPARIN, IS A FORM OF HEPARIN CALLED FRACTIONATED HEPARIN.

NCLEX REVIEW: PHARMACOLOGY ADVERSE REACTIONS/ SIDE EFFECTS

CARDIOVASCULAR DRUGS

ACE Inhibitors

  • HYPOTENSION (MOST COMMON)
  • COUGH ♣(COMMON NCLEX QUESTION)
  • CHECK ELECTROLYTES FOR (HYPERKALEMIA)

Calcium Channel Blocker

  • FATIGUE, HEADACHE
  • DROWSINESS
  • DYSRHYTMIAS
  • DO NOT GIVE TO PT’S WITH 2ND OR 3RD DEGREE HEARTBLOCK

Vasodilators

  • PALPITATIONS, CRAMPS
  • NAUSEA & VOMITING
  • BONE MARROW SUPPRESSION
  • CONTRAINDICATED IN PT’S W/ CAD
  • TAKE W/ FOOD TO DECREASE GI UPSET.

Diuretics

  • THIAZIDE
  • LOOP
  • OSMOTIC

Watch for electrolyte imbalance and dehydration.

Pottasium Sparing Diuretics

  • NAUSEA AND VOMITING
  • WATCH FOR ELECTROLYTE IMBALANCE SUCH AS
  • HYPERKALEMIA AND HYPONATREMIA.

ENDOCRINE SYSTEM PHARMACOLOGY

  • PROPYLTHIOURACIL (PTU) : HYPERTHYROID MEDICATION
  • FATIGUE, DROWSINESS
  • BRADYCARDIA, HEADACHE

Cortisone, Prednisone (Cortisole Replacement)

  • WEIGHT GAIN ♣
  • DECREASED IMMUNITY ♥
  • NAUSEA & VOMITING

Iodine Product (Loguls Solution)

  • USED FOR THYROID STORM
  • NAUSEA & VOMITING
  • BRADYCARDIA, HEADACHE

Levothyroixine (Synthroid) : Hypothyroid Medication

  • TACHYCARDIA ♦
  • NAUSEA & VOMITING

Glimepride (Amaryl), Glipizide (Glucotrol)

  • USED TO TREAT HYPERGLYCEMIA
  • BE CAREFUL TO WATCH FOR HYPOGLYCEMIA ♣

ENDOCRINE SYSTEM DRUGS

Corticosteroids (decreases inflammation)

  • INCREASED BP
  • HYPERGLYCEMIA ♥
  • WATCH OUT FOR CUSHING’S SYNDROME

Bronchodilators (relaxed bronchial muscle)

  • HEADACHE, TACHYCARDIA
  • PALPITATIONS
  • NAUSEA AND VOMITING

TUBERCULOSIS DRUGS

Isoniazid (INH)

  • B6 DEFICIENCY
  • OBSERVE PT. FOR JAUNDICE

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Welcome to this NCLEX Quick E Course: There is only ONE GOAL with this course, and that is to pass the NCLEX.  You have made it this far, you have graduated Nursing School.  You basically have learned, in some way or another the content and essential knowledge necessary to pass the NCLEX exam.  With the help of this course, it will now depend on how you are able to apply this knowledge and strategies towards the NCLEX.

Before starting this Quick E Course, I will require 3 essential qualities that you have from within:

The Three C’s includes:

Confidence: Confident that you are going to pass the NCLEX Exam.
Commitment: Committed in doing everything, to pass this Exam.
Concentration: Focus and Concentration throughout this review.

This COURSE will INCLUDE… ♣

The Quick E Course
Test Taking Strategies
Maslow's  Hierarchy
The Nursing Process
Lab Values (Important)
Intravenous Fluids
Electrolyte Values
NCLEX Review on Medication (IMPORTANT)
The Cardiac System
The Neuro System
The Respiratory System
The G.I. System
The G.U. System
The Endocrine System
The Integumentry System
The Hematologic System
The Musculoskeletal System
Eye and Ear Disorders
Infection Control
Management and Delegation
Types of Dysrhytmias
Pharmacology
Drug Classifications & Adverse Reactions.

Classification and Side Effects
The Antidote for certain Drugs.
Vitamins and Mineral
Cardiac Pharmacology
Cardiovascular Drugs (Simplified)
Cardiac Glycosides
Antidysrhytmics
Anticoagulants
Diuretics
Thrombolytics
Cardiac Stimulants
Central Nervous System Pharm.

CNS Stimulants
Anticonvulsants
Barbituates
Benzodiazepines
Succinimides
Antiparkinsonians
Antimyasthenic (Cholinergics)
Opioid Analgesics
Opioid Antagonists
Antiseizure Medication
Respiratory Pharmacology

Bronchodilators
Mucolytic Agents and Expectorants
Antihistamine
Antitussives
G.I. System Pharmacology

GI Drugs
Antacids
Anticholinergics
Antiemetics
Antidiarrheals
Cathartics/Laxatives
G.U. System Pharmacology

Spasmolytics
Urinary Anti-infectives
Pharmacology Review

A basic review of pharmacology
Overview of diff. type of Antibiotics
Adrenegic Antagonist Drugs
Parasympathetic Nervous System
Hematological Disorders

Antiplatelets
Anticoagluants
Autonomic Nervous System

Adrenergic Drugs
Cholinergic Agents
Anticholinergics
Antiparkinsonian Agents
Beta Adrenergic Blockers

Anti-infectives
Aminoglycosides
Maternity and Pediatrics
Maternal Assessment
Signs of Pregnancy
Complications of Pregnancy
1st, 2nd & 3rd Trimester Pregnancy
Ectopic Pregnancy
Placenta Previa
Preeclamsia

Caring for the Maternal Client

Signs of Pregnancy
Newborn and Pediatrics
Care of the Newborn
Growth & Development
Cardiovascular Disorders

Respiratory Disorders
Neurological Disorders
Gastrointestinal Disorders
Pediatrics: An NCLEX Review

Psychiatric Disorders
Psychotic Disorders
Substance Abuse
Drug Use

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All the Instructions to ACCESS the COURSE will be sent through your email.

All Proceeds Help Support my Help the Homeless Project below.  ⇓⇓⇓⇓ 

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