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\author{lizzie.heisler}
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  /Title (hypertension-meds.pdf)
  /Creator (Cheatography)
  /Author (lizzie.heisler)
  /Subject (Hypertension Meds Cheat Sheet)
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        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hypertension Meds Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{lizzie.heisler} via \textcolor{DarkBackground}{\uline{cheatography.com/87944/cs/20585/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}lizzie.heisler \\
  \uline{cheatography.com/lizzie-heisler} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 21st September, 2019.\\
   Updated 21st September, 2019.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Angiotensin II Receptor Blockers}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Examples Cozaar (Losarten) Atacand (Candesarten) Diovan (Valsartan)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{MOA: Prevent action of A-II and produce vasodilation and increased salt and water excretion} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Side effects Hyperkalemia  Impaired renal function} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Drug Interactions: None listed} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Nursing Implications Monitor b/p and heart rate  Full effect may take 3-6 weeks Watch for hyperkalemia and renal dysfunction} \tn 
% Row Count 9 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Patient Education}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Screening     B/P measurement     Cardiovascular risk factors} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Therapeutic regime       Lifestyle modification       Medication adherence} \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Nursing Management}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Assessment History and physical exam BP measurement} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Nursing Diagnoses Ineffective health maintenance Anxiety Sexual dysfunction} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Goals Lower BP and enhance patient compliance} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Interventions Early identification of medication side effects or complications Patient and family education} \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Evaluation Achieve and maintain goal BP Understand, accept, and implement therapeutic plan Experience minimal or no side effects} \tn 
% Row Count 11 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Calcium Channel Blockers}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Examples: Diltiazem (Cardizem SR) Nifedipine (Procardia, Procardia XL, Adalat) Nicardipine (Cardene) Verapamil (Isoptin, Calan, Calan SR) Amlodipine (Norvasc)} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Mechanism of action: Blocks movement of calcium into cells Vasodilatation, ↓ SVR, ↓ contractility,  ↓ HR} \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Side Effects: Bradycardia, 1st degree AV heart block, nausea, headache, dizziness, peripheral edema, flushing, rash gingival hyperplasia, and constipation with verapamil.} \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Adverse drug Interactions: Cautious use in patients with heart failure. Contraindicated in patients with 2nd and 3rd degree heart block.} \tn 
% Row Count 14 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Avoid grapefruit juice} \tn 
% Row Count 15 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Watch for bradycardia, first degree heart block} \tn 
% Row Count 16 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Diuretics}}  \tn
% Row 0
\SetRowColor{LightBackground}
Thiazide & Loop \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
MOA: Inhibit NaCL reabsorption in distal tubules.  Initial decrease in ECF and sustained decrease in SVR.  Lowers B/P over 2 -4 weeks. & MOA: Inhibits NaCl reabsorption in the ascending limb of loop of Henle, Increase excretion NaCl. \tn 
% Row Count 8 (+ 7)
% Row 2
\SetRowColor{LightBackground}
Chlorothiazide (Diuril), hydrochlorothiazide (Microzide) & Furosemide( Lasix), bumetanide(Bumex) \tn 
% Row Count 11 (+ 3)
% Row 3
\SetRowColor{white}
Side effects: fluid and E- imbalance, volume depletion, metabolic alkalosis. Vertigo, headache, weakness. Anorexia, N/V, constipation, pancreatitis, sexual dysfunction, photosensitivity, decreased glucose tolerance & Adverse rxn: Fluid and electrolyte imbalances. Ototoxicity, vertigo, Metabolic: hyperurecemia, hyperglycemia, inc. LDL and triglycerides and dec. HDL \tn 
% Row Count 22 (+ 11)
% Row 4
\SetRowColor{LightBackground}
Drug Interactions:    Potentiate digoxin    NSAIDS may decrease diuretic and antihypertensive effect & Drug Interactions: None listed \tn 
% Row Count 27 (+ 5)
% Row 5
\SetRowColor{white}
Nursing Considerations:    Monitor VS , orthostatic hypotension, Monitor for hypokalemia.    Teach about supplementation with K+ rich foods & Nursing Interventions: Monitor fluid and E imbalances \tn 
% Row Count 34 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Diuretics}}  \tn
% Row 0
\SetRowColor{LightBackground}
Potassium Sparing & Aldosterone Receptor Blockers \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
MOA: Reduce K+ and Na+ exchange distal and collecting tubules reduce excretion of K+, H+, Ca+ and Mg+ & MOA: inhibits Na+ retaining and K+ excreting effects of aldosterone in distal and collecting tubules ( K+ sparing) \tn 
% Row Count 8 (+ 6)
% Row 2
\SetRowColor{LightBackground}
Amiloride(Midamor & \seqsplit{Spirolactone(Aldactone} \tn 
% Row Count 10 (+ 2)
% Row 3
\SetRowColor{white}
Side effects: Hyperkalemia: N/V, diarrhea, leg cramps, dizziness, Tall t waves & Side effects: Hyperkalemia, gynecomastia, erectile dysfunction menstrual irregularity \tn 
% Row Count 15 (+ 5)
% Row 4
\SetRowColor{LightBackground}
Drug interactions: Caution in pts on ACE inhibitors and Angiotensin II blockers avoid  potassium supplements & Drug Interactions: Do not combine with K+ sparing diuretics or supplements, cautious use with ACE Inhibitors or angiotensin II blockers \tn 
% Row Count 22 (+ 7)
% Row 5
\SetRowColor{white}
Nursing Interventions: monitor for orthostatic hypotension, contraindicated in pts with renal failure and cautious use in pts on ACE inhibitors and Angiotensin II blockers.  Avoid K+ supplements & NursNursing Interactions: monitor for orthostatic hypotension and hyperkalemia.ing Interventions: Monitor fluid and E imbalances \tn 
% Row Count 32 (+ 10)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Direct Vasodilators}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Examples:  Hydralazine (Apresoline) Minoxidil (Loniten) Sodium nitropurusside (Nipride)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Mechanism of action: Relax vascular smooth muscle Decrease SVR} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Often given IV for hypertensive crisis} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Side Effects: Reflex tachycardia, nausea, flushing, headache,  hypotension} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Nursing Interventions: Monitor for hypotension and tachycardia} \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{ACE Inhibitors}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{"pril"} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Examples: Captopril (Capoten) Enalapril (Vasotec) Lisinopril (Zestril, Prinivil) Ramipril (Altace) Benazepril (Lotensin) Quinapril (Accupril)} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Mechanism of action: Inhibits angiotensin-converting enzyme Decreases vasoconstriction and water retention} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Side Effects:  Cough: 1/3 will develop Hypotension, Dizziness, headache, vertigo Angioedema Photosensitivity Abdominal pain, loss of taste Hyperkalemia: inhibits aldosterone} \tn 
% Row Count 11 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Drug Interactions: Diuretics enhance effect      NSAIDS and ASA may reduce effect} \tn 
% Row Count 13 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Nursing Implications Monitor blood pressure Monitor serum potassium Monitor renal function Antacids may decrease absorption} \tn 
% Row Count 16 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Beta Blockers}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Beta Blockers "-olol"} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Metropolol(Lopressor), propanolol(Inderal), carvediol(Coreg)} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Mechanism of action: Block beta receptor sites which are responsive to epinephrine and norepinephrine..} \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Side Effects      Hypotension  Headache  Fatigue  Peripheral edema  Erectile dysfunction Diabetics : may mask hypoglycemia Asthma: symptoms to monitor for} \tn 
% Row Count 10 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Nursing Implications Monitor heart rate and blood pressure Monitor for symptoms of HF} \tn 
% Row Count 12 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Drug Interactions: cautious use with diabetics and asthma patients} \tn 
% Row Count 14 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Nursing Interactions: Monitor pulse and BP regularly.    IV administration short onset and duration} \tn 
% Row Count 16 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Hypertensive Crisis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Sudden, severe increase in diastolic BP} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Clinical manifestations: Hypertensive encephalopathy Renal insufficiency Cardiac decompensation Neurologic compromise} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Hypertensive Crisis: Nursing-Collaborative Management} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Hospitalization IV antihypertensive drugs Intensive monitoring Invasive blood pressure monitoring Frequent physical assessments Treatment guided by MAP Use caution not to decrease BP too fast!} \tn 
% Row Count 10 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Types of Medications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Diuretics} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Beta-Blockers} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{Calcium Channel Blockers} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{ACE Inhibitors} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{ARBs} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{Vasodilators} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}