Hypertensive Drugs and their Contraindications Flashcards
(22 cards)
Esmolol contraindications
- higher degrees of heart block
* use with caution in asthmatics/COPD
What class is esmolol?
selective B1-receptor blocker
What class is labetelol?
combined alpha-1 and non-selective beta receptor blocker
-BP reductions are primarily achieved by Beta blocker
labetalol contraindications
- asthmatics
- COPD
- higher degree of heart block
Clevidipine drug class
dihydropyridine calcium channel blocker
-selective for vascular smooth muscles
Clevidipine contraindications
- allergic to soy or egg products
* disorders of lipid metabolism (pancreatitis, lipoid nephrosis)
Nicardipine drug class
dihydropyridine calcium channel blocker
-selective for vascular smooth muscle
Nicardipine contraindications
severe aortic stenosis
Hydralazine drug class
peripheral vasodilator
Hydralazine contraindications
- CAD
- Rheumatic MS
- SLE (Lupus)
Sodium nitroprusside drug class
nitric oxide donor; acts on both arterial and venous smooth muscle
Sodium nitroprusside contraindications
Raised ICP
MI
Nitroglycerin drug class
venodilator
Nitroglycerin contraindications
none
Enalaprilat
IV form of enalapril=ACE inhibitor
Enalaprilat contraindications
- hypertrophic cardiomyopathy
- severe aortic stenosis
- Unstented renal artery stenosis
- pregnancy
Fenoldopam drug class
agonist at D1- dopamine receptors
binds to alpha 2 adrenoreceptors and increases renal blood flow
Fenoldopam contraindications
- sodium meta-bisulphite and can cause an anaphylactic reaction
- increase in intraoccular pressure in patients with glaucoma
Nitroglycerin side effect
tachyphylaxis; headache
Nitroprusside side effect
thiocyanate toxicity, continuous monitoring
Beta blocker side effect
bradycardia; bronchospasm, HF
Hydralazine side effect
tachycardia, cardiac ischemia, slow onset
