# data[].attributes.body
Calcium Channel Blockers
Use
Action
SE

# data[].attributes.body
"Elevated" BP greater than 120/80. Malignant HTN greater than 200/130.

Hypertensive Crisis: immediate and urgent. Tx- Labetalol

Prehypertension: Borderline high BPs between 120 and 139 mm Hg systolic and 80 to 89 mm Hg diastolic.
Stage 2 HTN: BP 160/100 to 179/109
Stage 3 HTN: Begin at 180/110 with no upper limit.

At each stage of hypertension the risk of HF, kidney failure, stroke, and MI increase.

# data[].attributes.body
Beta blockers may cause bradycardia and increased risk of myocardial depression when taken with other drugs that have the same effects.

Beta blockers can antagonize the effects of bronchodilators, and they can also alter the requirements of insulin and hypoglycemic agents.

# data[].attributes.attachment_link.title
Pharmacology - Antihypertensives Beta Blockers Atenolol - for Registered nurse RN and PN NCLEX

# data[].attributes.body
"OLOLs" (ex: metoprolol)
Action: blocks stimulation of beta adregnergic receptors. Decrease BP by lowering HR and contractility.

S/E: Bradycardia, pulmonary edema, heart failure, fatigue, hypoglycemia, sexual dysfunction.

Nursing considerations:
-monitor HR and BP before and after administration.
-DO NOT give if HR is below 60 or systolic BP below 90.

Patient teaching:
-Do not stop medication abruptly. medication must be tapered off to avoid hypertensive crisis (due to rebound hypertension)

# data[].attributes.attachment_link.title
Pharmacology - HYPERTENSION & ANTIHYPERTENSIVES (MADE EASY)

# data[].attributes.attachment_link.title
Hypertensive Emergency - Guidelines, Symptoms, and Treatment

# data[].attributes.attachment_link.title
Antihypertensive Pharmacology for high blood pressure hypertension

# data[].attributes.body
Chronic elevated blood pressure leads to these symptoms which are signs of CHF and MI.
worsening: blood in urine, difficult breathing, especially during exercise, severe chest pain

# data[].attributes.attachment_link.title
Hypertension Pathophysiology, Signs & Symptoms for NCLEX

# data[].attributes.body
the body's smaller arterioles narrow, which causes the blood to exert excessive pressure against the vessel walls and making the heart to work harder to maintain the pressure

# data[].attributes.body
Normal BP is 120/80

# data[].attributes.attachment_link.title
Hypertension memory tricks signs, Symptoms, Causes for NCLEX

# data[].attributes.body
Labetalol & Hydralazine used for Eclampsia

# data[].attributes.body
nitroprusside: given IV & titrated based on BP

# data[].attributes.body
normal sodium levels 135-145 mEq/L

# data[].attributes.body
Labetolol or Hydralazine

# data[].attributes.body
Treatment (meds):

For diagnosis prior to pregnancy, all ACE 1, ARBS, and direct renin inhibitors must be held. Calcium channel blockers, beta blockers, and thiazide diuretics can be continued.
For diagnosis after pregnancy: Labetalol and Methyldopa (Codie M, Danielle S , Dustin T)

# data[].attributes.body
treatment

# data[].attributes.headline
Nursing Considerations for medications (ACTIONS to Implement)

# data[].attributes.subject
Nursing Considerations for medications (ACTIONS to Implement)

# data[].attributes.body
Faith R. - ACE inhibitors and ARBS: avoid giving to pregnant women because can increase risk in HTN.

ARBS: Change postions slowly. Monitor BP during therapy.

# data[].attributes.body
SEE TABLES CREATED IN CLASS
Category:
Thiazide diuretic - HCTZ (almost always in combination with the drug categories below)
ACE "prils" - first choice
ARBS "sartans"
Beta Blocker "olols"
Calcium channel blocker "ines"

Action:

S/E to monitor:
Cough - ACE
Angioedema - ARBS
Hypotension - alpha and nitrates
Bradycardia - BB
peripheral edema - CCB

# data[].attributes.headline
Laboratory values to  monitor (CUES = Assessments)

# data[].attributes.subject
Laboratory values to  monitor (CUES = Assessments)

# data[].attributes.body
Faith Umeh
Potassium: normal range is 3.5 - 5.3 mEq/L - most important
Sodium: normal range is 135 - 145 mEq/L

KIDNEY FUNCTION - creatinine .5 to 1.2 (normal)
microalbuminuria

Range of normal, borderline, and high blood pressure
120/80, 121-139/89, 140/90

# data[].attributes.headline
signs and symptoms (CUES = Assessment)Lynadama Bastien

# data[].attributes.subject
signs and symptoms (CUES = Assessment)Lynadama Bastien

# data[].attributes.body
expected (Relevant): headache

Silent Killer = most common is no symptoms, (besides blood pressure readings)

# data[].attributes.body
remember CO (HR X SV) and all of the components that impact CO (cardiac output) and SV (stroke volume).

HR = Heart
HR and contractility affected by the sympathetic nervous system and parasympathetic (central nervous system).

SV = preload, afterload, contractility. volume blood, arterial resistance (constricted arteries), heart pressures.

(flow diagram in video and powerpoint)

# data[].attributes.body
Primary hypertension is the most common type of hypertensive disease. It has no identifiable cause. Older people, African-Americans, and postmenopausal women are at higher risks.

# data[].attributes.body
Monitor electrolytes, monitor kidney and liver function, as well as hypotension. Encourage low sodium diet and educate on the signs and symptoms on hypotension so that your patients can notify you if the feel dizzy or light-headed.