part 4

Question 1

When do pt’s greater than 60 start meds for HTN?

Answer 1

systolic > or equal to 150

diastolic > or equal to 90

Question 2

What is BP goal for pt’s less than 60?

Answer 2

140/90

Question 3

Why does SPRINT recommend treating systolic BP to less than 120?

Answer 3

• reduces rates of major CV events by almost 1/3

- reduces risk of death by almost 1/4

Question 4

What are the most common HTN medication side effects we need to teach our pt’s about?

Answer 4

• orthostatic hypotension
• sexual dysfunction
• dry mouth
• frequent urination
• time of day to take drug

Question 5

What is the goal of all HTN medication treatment?

Answer 5

• decrease volume of circulating blood

- reduce SVR

Question 6

What is the first, second, and third choice for HTN medications?

Answer 6

1. thiazide diuretics
2. calcium channel blockers
3. ACE inhibitors

Question 7

-inhibits Na retianing and K excreting effects of aldosterone in distal and collecting tubules

Answer 7

MOA of Spironolactone (Aldactone)

aldosterone receptor blocker

Question 8

What are the nursing considerations of Spironolactone (Aldactone)?

Answer 8

Monitor for orthostatic hypotension and hyperkalemia

Question 9

-increase NaCl reabsorption in kidneys and increase excretion. More potent than thiazides yet shorter duration of action

Answer 9

Loop Diuretics:
Bumetanide (Bumex)
Furosemide (Lasix)
Torsemide (Demadex)

Question 10

What are nursing consideration for 
Loop Diuretics: 
Bumetanide (Bumex) 
Furosemide (Lasix) 
Torsemide (Demadex)

Answer 10

• dehydration - ototoxicity
• orthostatic hypotension
• electrolyte abnormalities - hyponatremia, hypochloremia
• WATCH K (hypokalemia)

Question 11

What is very important to watch for loop diuretics?

Answer 11

K+ (hypokalemia)