Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. Two first-line drugs of different classes are recommended with stage 2 hypertension and average BP of 20/10 mm Hg above the BP target. What is the best BP medicine? Which blood pressure drug is right for you?
Full Answer
What are the 4 worst blood pressure drugs?
BB Beta Blockers Use. Can be used for hypertension in combination with other anti-hypertensives. 1&2 HTN with duiretics and MI ,angia. BB Beta Blockers Common Effects. Bradycardia, peripheral vasoconstriction (purple, mottled skin); heart failure; bronchospasm, wheezing; masks hypoglycemia in diabetic patients.
What are the most common hypertension medications?
Drugs recommended for treatment of hypertension in children 1-18 years old include ACEIs, diuretics, β blockers, and calcium channel blockers. Drugs of choice in treating pregnant women with mild preeclampsia
How to lower blood pressure without medication?
lifestyle modifications are initial therapy. if no significant effect, drug therapy is introduced. start with diuretics for stage 1 hypertension. add beta blockers, ACE inhibitors, calcium channel blockers, and angiotensin receptor blockers as tolerated. start with two-drug combination for stage hypertension.
Which antihypertensive to start?
What are the classes of adjunct medications that can be used to treat hypertension? Alpha1-adrenergic blockers, alpha 2-agonist, beta-adrenergic blockers, alpha-beta-adrenergic blockers List the three Alpha1-adrenergic blockers
What is a normal BP?
normal BP: less than 120 sbp, less than 81 dbp
What enzyme inhibits angiotensin I?
inhibit angiotensin I converting enzyme (ACE) distrup tin the conversion of angiotensin I to angiotensin II
What is the best medication for hypertension?
Thiazide diuretics are first-line drugs for hypertension. Beta blockers are effective but are most often used to counter reflex tachycardia associated with reduced blood pressure caused by therapeutic agents. Loop diuretics cause greater diuresis than is usually needed and so are not first-line drugs.
What blockers block the actions of angiotensin II?
a."Beta blockers block the actions of angiotensin II."
What is thiazide diuretics?
Thiazide diuretics are first-line drugs for confirmed hypertension. A patient who does not consume alcohol or nicotine products reports a strong family history of hypertension and cardiovascular disease. The patient has a blood pressure of 126/82 and a normal weight and body mass index for height and age.
What is the difference between ACE inhibitors and beta blockers?
ACE inhibitors slow the progression of kidney injury in diabetic patients with renal damage. Beta blockers can mask signs of hypoglycemia and must be used with caution in diabetics. Direct-acting vasodilators are third-line drugs for chronic hypertension. Thiazide diuretics promote hyperglycemia.
Why do you need beta blockers?
Beta blockers are often added to drug regimens to treat reflex tachycardia, which is a common side effect of lowering blood pressure, caused by the baroreceptor reflex. The patient's blood pressure is responding to the medications, but the tachycardia warrants treatment.
What does a nurse check in the hospital?
A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
Is calcium and potassium a risk factor for prehypertension?
This patient has prehypertension without other risk factors. Lifestyle changes are indicated at this point. If blood pressure rises to hypertension levels, other measures, including drug therapy, will be initiated. Calcium and potassium supplements are not indicated.
What is the name of the condition that occurs after first dose of ace inhibitor?
neutropenia (related to agranulocytosis) An abnormally low count of a type of white blood cell (neutrophils) Angioedema. Can occur after first dose of ace inhibitor: -swelling if the face, eyes, lips, younger, difficulty in breathing.
What is eplerenone used for?
A patient is prescribed eplerenone (Inspra) for treatment of hypertension. The nurse instructs the patient to avoid taking this drug with which kind of juice?
What is the best treatment for hypertension?
Beta adrenergic blocker . Beta adrenergic blockers are the preferred treatment for antihypertensive patients who have had a heart attack. They block the beta receptors in the heart and reduce heart rate, cardiac output, and blood pressure, and are used to treat hypertension in addition to other cardiac conditions.
What is the best antihypertensive drug?
Diuretics and beta adrenergic blockers are preferred antihypertensive drug categories. Calcium channel blockers and ACE inhibitors are considered alternative agents and not one of the preferred antihypertensive drug categories. Peripheral acting adrenergic agents are considered adjunctive agents and not one of the preferred antihypertensive drug ...
How do diuretics lower blood pressure?
Diuretics lower blood pressure by dilating peripheral arterioles and decreasing blood volume by increasing the excretion of sodium and water. Diuretics do not activate the renin angiotensin system, which raises blood pressure through vasoconstriction and renal retention of sodium and water.
Which antihypertensive drug is considered an adjunctive agent?
Diuretics and beta adrenergic blockers are preferred antihypertensive drug categories. Calcium channel blockers and ACE inhibitors are considered alternative agents and not one of the preferred antihypertensive drug categories. Peripheral acting adrenergic agents are considered adjunctive agents and not one of the preferred antihypertensive drug categories.
What is aliskiren prescribed for?
A patient with a history of diabetes mellitus is prescribed aliskiren (Tekturna) for treatment of hypertension. The nurse plans to monitor the patient for which electrolyte imbalance?
What is eplerenone used for?
A patient is prescribed eplerenone (Inspra) for treatment of hypertension. The nurse instructs the patient to avoid taking this drug with which kind of juice?
Which is more effective, ACE II or beta blockers?
ACE II inhibitors. b. Calcium channel blockers. Calcium channel blockers are more effective in African Americans and older adult hypertensive patients than other antihypertensive drugs. Beta blockers have not been shown to be very effective in African Americans.