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Question 5: How should patients on ARBs be monitored?

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Question 5: How should patients on ARBs be monitored?

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Answer: Monitor blood pressure and renal function, especially potassium levels.

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-Do not discontinue abruptly

-Avoid potassium supplements

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Question 4: Why are ARBs contraindicated in pregnancy?

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Question 4: Why are ARBs contraindicated in pregnancy?

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Answer: They can harm fetal development, especially kidney function.

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Question 3: What are the most common side effects associated with ARBs?

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Question 3: What are the most common side effects associated with ARBs?

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Answer: Dizziness, hyperkalemia, renal impairment, and rarely, angioedema.

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Question 2: Name three common ARBs and their typical uses.

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Question 2: Name three common ARBs and their typical uses.

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Answer:

1. Losartan - hypertension, kidney protection in diabetes.

2. Valsartan - hypertension, heart failure.

3. Irbesartan - hypertension, diabetic nephropathy.

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Question 1: What is the primary mechanism of action of ARBs?

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Question 1: What is the primary mechanism of action of ARBs?

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Answer: ARBs block angiotensin II receptors, leading to vasodilation and lower blood pressure.

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ANS: C

The most common adverse effects of ARBs are chest pain, fatigue, hypoglycemia, diarrhea, urinary tract infection, anemia, and weakness. Hyperkalemia and cough are less likely to occur than with the ACE inhibitors.

Overdose may manifest as hypotension and tachycardia; bradycardia occurs less often. Treatment is symptomatic and supportive and includes the administration of IV fluids to expand the blood volume.

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Which statement about ARBs does the nurse identify as being true?

1. Hyperkalemia is more likely to occur than when using ACE inhibitors.

2. Cough is more likely to occur than when using ACE inhibitors.

3. Chest pain is a common adverse effect.

4. Overdose is usually manifested by hypertension and bradycardia.

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Losartan  Irbesartan   Valsartan   Candesartan    Olmesartan     Telmisartan

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-Those with hypersensitivity to ARBs or ACE inhibitors

pregnancy

-Can cause fetal toxicity, avoid breastfeeding

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side effects

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Dizziness, Hyperkalemia, and Renal issues.

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Losartan (Cozaar)

Valsartan (Diovan)

Irbesartan (Avapro)

Candesartan (Atacand)

Olmesartan (Benicar)

Telmisartan (Micardis)

Eprosartan (Teveten)

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use: tips

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ARBs are primarily for heart conditions and blood pressure management.

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3. A - ARBs - Angiotension Receptor Blockers 

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-Does not have the side effect of a dry non productive cough like ACE inhibitors do

-Is well tolerated and has less side effects then ACE inhibitors

-Also referred to as angiotensin II blockers

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Mechanism: quick tip

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remember that ARBs prevent angiotensin II from tightening blood vessels.

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Works by blocking angiotensin II from binding to receptors.

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Those with hypertension, heart failure, preventing heart attack, stroke, and renal disease in diabetics

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Causes vasodilation and reduced blood pressure

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Angiotensin 2 Receptor Blockers (ARBs) Mnemonic for NCLEX

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Pharmacology ACE Inhibitors vs ARBs - Antihypertensive l Lisinopril, Losartan for NCLEX RN LPN

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Welcome to our Antihypertensive Drugs Padlet! Please follow the instructions below to complete the activity. If you have any questions, please ask your instructor for help. • Add a post to the padlet with your assigned antihypertensive drug class • Include a clear, detailed explanation of how the drug works to lower blood pressure. Create a post explaining everything you can remember about your assigned antihypertensive drug class, including a diagram or animation. • Attach a diagram or animation that illustrates the drug's mechanism of action, primary contraindication or something that will make it memorable. • Be prepared to discuss the various mechanisms in class.