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\author{Tuckerv}
\pdfinfo{
  /Title (antihypertensives.pdf)
  /Creator (Cheatography)
  /Author (Tuckerv)
  /Subject (Antihypertensives Cheat Sheet)
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\noindent
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        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Antihypertensives Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Tuckerv} via \textcolor{DarkBackground}{\uline{cheatography.com/92870/cs/20599/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Tuckerv \\
  \uline{cheatography.com/tuckerv} \\
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\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 23rd September, 2019.\\
   Updated 24th September, 2019.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
\raggedright
\raggedcolumns

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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Diuretics (-zide, -mide)}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Thiazide diuretics}} & {\bf{LOOP diuretics}} & {\bf{K+ Sparing}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\{\{fa-bolt\}\} {\bf{MOA}} & i.e. Lasix (furosemide) & i.e. \seqsplit{spironolactone}, triamterene \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Inhibits reabsorption of Na, K, Cl resulting is osmotic water loss & \{\{fa-bolt\}\} {\bf{MOA}} & \{\{fa-bolt\}\} {\bf{MOA}} \tn 
% Row Count 11 (+ 6)
% Row 3
\SetRowColor{white}
Relaxes arterioles (decrease afterload) & Loss of fluid by inhibition of Na and Cl reabsorption & Blocks reabsorption of Na and water, potassium retained \tn 
% Row Count 16 (+ 5)
% Row 4
\SetRowColor{LightBackground}
\{\{fa-bolt\}\} {\bf{Indication}} & Reduced BP & \{\{fa-bolt\}\} {\bf{Indications}} \tn 
% Row Count 19 (+ 3)
% Row 5
\SetRowColor{white}
HTN (first line) & Reduced SVR (afterload), reduced CVP (preload), reduced LVEDP & HF \tn 
% Row Count 24 (+ 5)
% Row 6
\SetRowColor{LightBackground}
Edematous state d/t HF, liver cirrhosis & \{\{fa-bolt\}\} {\bf{Indications}} & \{\{fa-bolt\}\} {\bf{Contraindications}} \tn 
% Row Count 27 (+ 3)
% Row 7
\SetRowColor{white}
\{\{fa-bolt\}\} {\bf{Contraindications}} & Edema (rt sided HF) & Allergy, kyperkalemia, kidney failure, anuria \tn 
% Row Count 31 (+ 4)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Diuretics (-zide, -mide) (cont)}}  \tn
% Row 8
\SetRowColor{LightBackground}
Drug allergy, hepatic coma, anuria, kidney failure & Fluid accumulation d/t liver/kidney disease & \{\{fa-bolt\}\} {\bf{Adverse Effects}} \tn 
% Row Count 4 (+ 4)
% Row 9
\SetRowColor{white}
\{\{fa-bolt\}\} {\bf{Adverse Effects}} & HTN & \seqsplit{Spironolactone-} gynecomastia, amenorrhea, irregular menses, etc. \tn 
% Row Count 9 (+ 5)
% Row 10
\SetRowColor{LightBackground}
Electrolyte disturbances (decrease K, elevated Ca, lipids, glucose, uric acid) & Pulmonary edema (lt sided HF) & Triamterene- kidney stone d/t reduced folic acid \tn 
% Row Count 15 (+ 6)
% Row 11
\SetRowColor{white}
Dizziness & Crackles/low O2 sats &  \tn 
% Row Count 17 (+ 2)
% Row 12
\SetRowColor{LightBackground}
GI disturbance & \{\{fa-bolt\}\} {\bf{Contraindications}} &  \tn 
% Row Count 20 (+ 3)
% Row 13
\SetRowColor{white}
\seqsplit{Thrombocytopenia} & allergy, hepatic coma, severe electrolyte loss (Na \& K), pregnancy/BF, gout &  \tn 
% Row Count 26 (+ 6)
% Row 14
\SetRowColor{LightBackground}
Pancreatitis & \{\{fa-bolt\}\} {\bf{Adverse Effects}} &  \tn 
% Row Count 29 (+ 3)
% Row 15
\SetRowColor{white}
\seqsplit{Cholecystitis} & Electrolye \seqsplit{loss/dehydration} &  \tn 
% Row Count 32 (+ 3)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Diuretics (-zide, -mide) (cont)}}  \tn
% Row 16
\SetRowColor{LightBackground}
Headache & Furosemide- \seqsplit{ototoxicity/photosensitivity} &  \tn 
% Row Count 4 (+ 4)
% Row 17
\SetRowColor{white}
Impotence & Orthostatis hypotension &  \tn 
% Row Count 6 (+ 2)
% Row 18
\SetRowColor{LightBackground}
 & \seqsplit{Hyperglycemia}, \seqsplit{hyperuricemia} &  \tn 
% Row Count 9 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{3.833cm}}{{\emph{Thiazide diuretics work on distal tubule \newline }}Loop diuretics work on ascending loop of Henle \newline *K sparing works on collecting duct}  \tn 
\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 (-olol)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{i.e. atenolol, metoprolol, bisoprolol, timolol (eye drops), labetalol (IV) \newline % Row Count 2 (+ 2)
\{\{fa-bolt\}\} {\bf{MOA}} \newline % Row Count 3 (+ 1)
- blocks SNS stimulation of Beta 1 \newline % Row Count 4 (+ 1)
- Reduced renin and aldosterone release and fluid balance \newline % Row Count 6 (+ 2)
- Vasodilation of aterioles= Decreased PVR and BP \newline % Row Count 7 (+ 1)
- Decreased myocardial stimulation \newline % Row Count 8 (+ 1)
- Decreased HR \newline % Row Count 9 (+ 1)
- Decreased conduction through AV node \newline % Row Count 10 (+ 1)
- Prolonged SA node recovery \newline % Row Count 11 (+ 1)
- Decreases myocardial O2 demand and contractility \newline % Row Count 13 (+ 2)
*reduces the work of the heart \newline % Row Count 14 (+ 1)
\{\{fa-bolt\}\} {\bf{Indications}} \newline % Row Count 15 (+ 1)
- HTN, angina, dysrhythmias \newline % Row Count 16 (+ 1)
\{\{fa-bolt\}\} {\bf{Contraindications}} \newline % Row Count 17 (+ 1)
- Allergy \newline % Row Count 18 (+ 1)
- Uncompensated HF \newline % Row Count 19 (+ 1)
- Cardiogenic shock \newline % Row Count 20 (+ 1)
- Heart block \newline % Row Count 21 (+ 1)
- Bradycardia \newline % Row Count 22 (+ 1)
- Pregnancy \newline % Row Count 23 (+ 1)
- Severe pulmonary disease (B2) \newline % Row Count 24 (+ 1)
- Raynaud's disease \newline % Row Count 25 (+ 1)
\{\{fa-bolt\}\} {\bf{Adverse Effects}} \newline % Row Count 26 (+ 1)
- Can worsen angina or cause MI if stopped quickly \newline % Row Count 28 (+ 2)
- Symptoms of HF (coughing, SOB, Edema, fatigue) \newline % Row Count 29 (+ 1)
- Can mask signs of hypoglycemia \newline % Row Count 30 (+ 1)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Beta Blockers (-olol) (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{- CV: AV block, bradycardia, HF, PV insufficiency, hypotension \newline % Row Count 2 (+ 2)
- Resp: bronchospasm, bronchoconstriction \newline % Row Count 3 (+ 1)
- CNS: dizziness, depression, lethargy \newline % Row Count 4 (+ 1)
- GI: nausea, dry mouth, vomiting, constipation, diarrhea \newline % Row Count 6 (+ 2)
- Hema: thrombocytopenia% Row Count 7 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{ Watch for diabetic pts \newline }} Monitor closely if given with calcium channel blocker}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{{\bf{ARBs (-sartan)}}}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{i.e. losartan, eprosartan, valsartan, irbesartan, telmisartan \newline % Row Count 2 (+ 2)
\{\{fa-bolt\}\} {\bf{MOA}} \newline % Row Count 3 (+ 1)
- blocks binding of angiotensin II to receptors \newline % Row Count 4 (+ 1)
- Affects smooth muscle and adrenal gland \newline % Row Count 5 (+ 1)
- Blocks vasoconstriction and secretion of aldosterone \newline % Row Count 7 (+ 2)
\{\{fa-bolt\}\} {\bf{Indications}} \newline % Row Count 8 (+ 1)
- HTN, HF (decrease preload/afterload), decreased mortality after MI \newline % Row Count 10 (+ 2)
\{\{fa-bolt\}\} {\bf{Contraindications}} \newline % Row Count 11 (+ 1)
- allergy, pregnancy/BF, kidney dysfunction (caution), older adults \newline % Row Count 13 (+ 2)
\{\{fa-bolt\}\} {\bf{Adverse Effects}} \newline % Row Count 14 (+ 1)
- URI, headache, hypotension, tachycardia, S/S of toxicity \newline % Row Count 16 (+ 2)
\{\{fa-bolt\}\} {\bf{Interactions}} \newline % Row Count 17 (+ 1)
- Cimetidine, phenobarbital, rifampin, K+ supplements% Row Count 19 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{**once daily medication}  \tn 
\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 (-pine, -amil)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{i.e. Amlodipine (dihydropyridines), Diltiazem (benzothiazepines), Verapamil (phenylakylamines) \newline % Row Count 2 (+ 2)
\{\{fa-bolt\}\} {\bf{MOA}} \newline % Row Count 3 (+ 1)
- Blocks Ca access to cells causing: \newline % Row Count 4 (+ 1)
- decreased contractility \newline % Row Count 5 (+ 1)
- decreased conductivity of the heart \newline % Row Count 6 (+ 1)
- decreased demand for O2 \newline % Row Count 7 (+ 1)
- dilation of coronary arteries (decreased afterload, increased oxygen supply) \newline % Row Count 9 (+ 2)
**decreases work of the heart \newline % Row Count 10 (+ 1)
\{\{fa-bolt\}\} {\bf{Indications}} \newline % Row Count 11 (+ 1)
- Angina \newline % Row Count 12 (+ 1)
- HTN \newline % Row Count 13 (+ 1)
- SVT \newline % Row Count 14 (+ 1)
- Atrial fib/flutter \newline % Row Count 15 (+ 1)
- Migraines \newline % Row Count 16 (+ 1)
- Intracranial aneurysm rupture \newline % Row Count 17 (+ 1)
\{\{fa-bolt\}\} {\bf{Contraindications}} \newline % Row Count 18 (+ 1)
- allergy, acute MI, 2 or 3* heart block, hypotension \newline % Row Count 20 (+ 2)
\{\{fa-bolt\}\} {\bf{Adverse Effects}} \newline % Row Count 21 (+ 1)
- Hypotension \newline % Row Count 22 (+ 1)
- Palpitations \newline % Row Count 23 (+ 1)
- Tachycardia or bradycardia \newline % Row Count 24 (+ 1)
- HF \newline % Row Count 25 (+ 1)
- Constipation \newline % Row Count 26 (+ 1)
- Nausea \newline % Row Count 27 (+ 1)
- Dermatitis \newline % Row Count 28 (+ 1)
- Dyspnea \newline % Row Count 29 (+ 1)
- Rash/flushing \newline % Row Count 30 (+ 1)
} \tn 
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Calcium Channel Blockers (-pine, -amil) (cont)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{- Peripheral edema \newline % Row Count 1 (+ 1)
\{\{fa-bolt\}\} {\bf{Interactions}} \newline % Row Count 2 (+ 1)
- beta blocker, digoxin, h2 blockers, cyclosporin \newline % Row Count 3 (+ 1)
- grapefruit% Row Count 4 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{avoid grapefruit \newline }}do not take diltiazem with cyclosporin \newline {\bf{ check liver and renal fx \newline }} Weight- check for peripheral edema}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Nitrates (nitroglycerin)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{\{\{fa-bolt\}\} {\bf{MOA}} \newline % Row Count 1 (+ 1)
- dilation of blood vessels (relaxation of smooth muscle) esp coronary vessels \newline % Row Count 3 (+ 2)
- decreased afterload and preload \newline % Row Count 4 (+ 1)
\{\{fa-bolt\}\} {\bf{Indications}} \newline % Row Count 5 (+ 1)
- Angina (stable, unstable, vasospastic) \newline % Row Count 6 (+ 1)
\{\{fa-bolt\}\} {\bf{Contraindications}} \newline % Row Count 7 (+ 1)
- allergy, anemia, closed-angle glaucoma, hypotension, head injury \newline % Row Count 9 (+ 2)
\{\{fa-bolt\}\} {\bf{Adverse Effects}} \newline % Row Count 10 (+ 1)
- headache, tachycardia, postural hypotension, reflex tachycardia, tolerance \newline % Row Count 12 (+ 2)
\{\{fa-bolt\}\} {\bf{Interactions}} \newline % Row Count 13 (+ 1)
- alcohol, beta blockers, CCB, antipsychotics, erectile dysfunction medications% Row Count 15 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{light sensitive \newline }}check expiration date  \newline {\bf{comes in many forms- sublingual, chewable, oral tabs, capsules, ointments, patches, translingual spray, IV \newline }}ensure pt is not on erectile dysfunction medication \newline {\bf{always date and time nitro patches upon application \newline }} administer while seated, take BP measure pain, then wait 5 mins and repeat up to 3x}  \tn 
\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 (-pril)}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{i.e. ramipril, fosinopril sodium, lisinopril, enalapril, perindopril, captopril \newline % Row Count 2 (+ 2)
\{\{fa-bolt\}\} {\bf{MOA}} \newline % Row Count 3 (+ 1)
- Suppresses formation of angiotensin II from the RAAS system \newline % Row Count 5 (+ 2)
- Reduces PVR \newline % Row Count 6 (+ 1)
- Increases CO \newline % Row Count 7 (+ 1)
\{\{fa-bolt\}\} {\bf{Indications}} \newline % Row Count 8 (+ 1)
- HTN (decreased afterload, prevents formation of ACE II) \newline % Row Count 10 (+ 2)
- HF (prevents Na and water resorption, causes diuresis, decreases preload) \newline % Row Count 12 (+ 2)
- Protective effects on kidney (decreases GFR) \newline % Row Count 13 (+ 1)
\{\{fa-bolt\}\} {\bf{Contraindications}} \newline % Row Count 14 (+ 1)
- History of angioedema, renal artery stenosis, K+ \textgreater{}5mmol/L \newline % Row Count 16 (+ 2)
\{\{fa-bolt\}\} {\bf{Adverse Effects}} \newline % Row Count 17 (+ 1)
- Hyperkalemia \newline % Row Count 18 (+ 1)
- Fatigue, mood changes, dizziness, headache \newline % Row Count 19 (+ 1)
- Dry, non-productive cough** \newline % Row Count 20 (+ 1)
- Hypotension \newline % Row Count 21 (+ 1)
- Angioedema \newline % Row Count 22 (+ 1)
- Rash, thrombocytosis, loss of taste, proteinuria, pruritis, anemia, neutropenia \newline % Row Count 24 (+ 2)
\{\{fa-bolt\}\} {\bf{Interactions}} \newline % Row Count 25 (+ 1)
- NSAIDS \newline % Row Count 26 (+ 1)
- Potassium sparing diuretics \newline % Row Count 27 (+ 1)
- Lithium and ACE inhibitors% Row Count 28 (+ 1)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{**Do not use during pregnancy/BF}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


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

\end{document}