prevent the conversion of angiotensin I to angiotensin II which prevents
vasoconstriction
list of ACE inhibitors
•captopril (Capoten)
•enalapril (Vasotec)
•enalaprilat (Vasotec IV)
•lisinopril (Prinivil, Zestril)
•ramipril (Altace)
•Benazepril (Lotensin)
•fosinopril (Monopril)
•moexipril (Univasc)
•perindopril (Aceon)
•trandolapril (Mavik)
known as the prils
clinical uses for ACE inhibitors
hypertension
heart failure
myocardial infarction
,insulin resistance
SE/AR of ACE inhibitors
•Renal insufficiency
•Hyperkalemia
•Hypotension
•Dry cough
•Rash
•Angioedema
Nursing considerations for ACE inhibitors
•Patient education: swelling in eyes and lips; body may feel different as it adjusts to
lower BP, beware of orthostatic hypotension
•Vital signs
•History of OTC medications
•Patient precautions
•D/C K+ supplements
•Angioedema
Angiotensin II receptor blockers
-ARBs
-block the actions of angiotensin II (a potent vasoconstrictor)
-similar effects as ACE inhibitors
Benefits of ARBs
•ARBs do not cause hyperkalemia or dry hacking cough; significantly reduce the
risk of angioedema
list of angiotensin II receptor blockers
,•losartan (Cozaar)
•candesartan (Atacand)
•irbesartan (Avapro)
•telmisartan (Micardis)
•valsartan (Diovan)
•olmesartan (Benicar)
three classes of diuretics
loop, thiazide, potassium sparing
clinical indications for diuretics
•Acute renal failure
•Chronic renal failure
•Congestive heart failure
•Acute pulmonary edema
•Hypertension
list of loop diuretics
•furosemide (Lasix)
•ethacrynic acid (Edecrin)
•bumetanide (Bumex
list of potassium-sparing diuretics
•spironolactone (Aldactone)
•amiloride (Midamor)
•triamterene (Dyrenium)
list of thiazide diuretics
, •hydrochlorothiazide (HydroDiuril, Esidrix)
•chlorothiazide (Diuril)
•bendroflumethazide (Naturetin)
•methyclothiazide (Enduron)
•quinethazone (Hydromox)
•metolazone (Zaroxolyn, Diulo)
•chlorthalidone (Hygroton)
•indapamide (Lozol)
SE/AR of diuretics
•Orthostatic Hypotension
•Blood volume depletion
•Fluid & electrolyte imbalances
which diuretics cause hyperkalemia
potassium sparing
which diuretics cause hypokalemia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Boostertips. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.