# data[].attributes.body
- determine when clients last attack was and the precipitating factor
- Elective dentistry should be postponed in clients with unstable angina
- Orthostatic hypotension
- Max of two cartridges containing 1:100,000 epi

# data[].attributes.body
- similar drugs as hypertensive - important to  record the indication for usage
- vasoconstrictor (1:100,000 epi) in a local anaesthetic should be limited to 2 cartridges

# data[].attributes.body
- get INR levels before treatment
-  acceptable INR range is 2.0 - 3.0
- used to monitor the clients oral anticoagulant therapy
- higher the INR the greater the anticoagulant effect
- med consult often needed

# data[].attributes.body
- Orthostatic Hypotension
- Xerostomia
- Increase in urination
- No special precautions with epinephrine
- NSAIDs can decrease the effectiveness of antihypertensive action
- Gingival enlargement occurs most frequently with nifedipine and amlodipine
- monitor vital signs when administering local anesthetic
- vasoconstrictors is not contraindicated: limited to 2 cartridges containing epi
- Levonordefrin should not be used

# data[].attributes.body
- retard coagulation and extend the time taken for blood to clot
- Warfarin (Coumadin)
- Dicumarol
- Anisindione (Miradon)
- Heparin

# data[].attributes.body
- prevent platelets from clumping and also prevents clots from forming and growing
- Aspirin
- Abciximab (ReoPro)
- Clopidogrel (Plavix)
- Dipyridamole (Persantine, Pyridamole)
- Ticlopidine (Ticlid)
- Aspirin/dipyridamole (Aggrenox)

# data[].attributes.body
- Diltiazem (Cardizem)
- Verapamil (Calan)

# data[].attributes.body
- Amiodarone (Cordarone)
- Bretylium (injectable)
- Sotalol (Betapace)

# data[].attributes.body
- Acebutolol (Sectral)
- Esmolol (Brevibloc)
- Propranolol (Inderal)

# data[].attributes.body
Class IA
- Disopyrmaide (Norpace)
- Procainamide (Pronestyl)
- Quinidine (Quinidex)
Class IB
- Lidocaine (Xylocaine)
- Mexiletine (Mexitil)
Class IC
- Flecainide (Tambocor)
- Propafenone (Rhythmol)

# data[].attributes.body
Classes
Nondihydropyridines
- Diltiazem (Cardizem)
- Verapamil (Calan, Isoptin)
Dihyropyridines
- Nifedipine (Procardia)
- Amlodipine (Norvasc)
- Felodipine (Plendil)

# data[].attributes.headline
Angiotensin- Converting Enzyme  (ACE) Inhibitors

# data[].attributes.subject
Angiotensin- Converting Enzyme  (ACE) Inhibitors

# data[].attributes.body
- Captopril (Capoten)
- Enalapril (Vasotec)
- Lisinopril (Prinivil, Zestril)
- Quinapril (Accupril)
- Fosinopril (Monopril)

# data[].attributes.body
- Hyralazine (Apresoline)

# data[].attributes.body
- stimulate B-receptors which increase cardiac contractility
- Dobutamine (Dobutrex)
- Dopamine

# data[].attributes.body
Digitalis Glycosides
- increased calcium ion concentration, which enhances heart contractility
- Digoxin (Lanoxin)

# data[].attributes.body
- increase fluid loss, thus reducing cardiac load
- Loop diuretics (furosemide)
- Thiazides (hyrochlorothiazide)

# data[].attributes.body
- reduce cardiac load and thus oxygen demand
- Atenolol (Tenormin)
- Metoprolol (Lopressor)
- Nadolol (Corgard)
- Propranolol (Inderal

# data[].attributes.body
- slow heart rate and dilate coronary arteries
- Amlodipine (Norvasc)
- Bedpridil (Vasocor)
- Diltiazem (Cardizem)
- Nicardipine (Cardene)
- Nifedipine (Procardia, Adalat)
- Verapamil (Calan, Isoptin)

# data[].attributes.body
- dilate coronary arteries
- Nitroglycerin (Nitro-Bid, Nitrostat)
- Isosorbide dinitrate (Isordil)
- Isosorbide mononitrate (Imdur)

# data[].attributes.body
- Hydralazine (Apresoline)
- Minoxidil (Loniten)
- Nitroprusside (Nitropress)

# data[].attributes.body
- prevents calcium from entering the cells of the coronary blood vessels and cause vasodilation
Classes
Nondihydropyridines
- Diltiazem (Cardizem)
- Verapamil (Calan, Isoptin)
Dihyropyridines
- Nifedipine (Procardia
- Amlodipine (Norvasc)
- Felodipine (Plendil)

# data[].attributes.body
- decrease the heart rate and contractility by blocking B-receptors
Classes
B-Receptor Blockers "lol"
Cardioselective
- Atenolol (Tenormin)
- Bisoprolol (Zebeta)
- Metoprolol (Lopressor)
Nonselective
- Nadolol (Corgard)
- Propranolol (Inderal)
- Timolol (Blocadren)
Centrally/Peripherally a2 - Agonists Acting Drugs
- Clonidine (Catapres)
- Methyldopa (Aldomet)
- Reserpine (generic)
a1- Adrenergic Blockers
- Prazosin (Minipress)
- Terazosin (Hytrin)

# data[].attributes.body
-  "tan"
-  block angiotensin II receptor sites
- Candesartan (Atacand)
- Eprosartan (Teveten)
- Irbesartan (Avapro)
- Losartan (Cozaar)
- Olmesartan (Benicar)
- Temisartan (Micardis)
- Valsartan (Diovan)

# data[].attributes.body
-  "pril"
- reduce blood pressure by inhibiting the conversion of angiotensin I to angiotensin II
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Moexipril (Univasc)
- Quinapril (Altace)
- Ramipril (Altace)

# data[].attributes.body
- "ide"
- increase elimination of water and salt, which will reduce blood pressure
Classes
Thiazides
- Chlorothiazide (Diuril)
- Hydrochlorothiazide (Hydrodiuril)
Loop Diuretics
- Furosemide (Lasix)
- Bumetanide (Bumex)
Potassium- Sparing
- Triamterene (Dyrenium)
- Spironolactone (Aldactone)