ARBs

Question 1

Common generic names

Answer 1

“Sartan”, losartan, valsartan, irbesartan, olmesartan

Question 2

Indications

Answer 2

Management of HTN alone or with either meds, Management of HF for those who cannot tolerate ACE Inhibitors, stroke prevention

Question 3

How it works

Answer 3

Blocks vasoconstrictor and aldosterone producing effects of angiotensin II at receptor sites, decreasing BP

Question 4

SE

Answer 4

Hypotension, back pain, myalgia, sinusitis, hepatitis, elevated K+, rare angioedema

Question 5

Nursing Interventions

Answer 5

Assess orthostatic BP, Monitor daily weight (fluid overload), Monitor following: may increase in K+, BUN, creatinine, AST/ALT, uric acid, and decrease H/H

Question 6

Patient teaching

Answer 6

May rarely cause angioedema, report facial swelling and dyspnea, take at the same time every day, cautious for orthostatic hypotension, do not use salt substitutes