Hypertension Intervention
- Weight Reduction and Exercise
 - Diet Changes
 - Relaxation Techniques
 - Smoking Cessation
 - Medications
 - Encourage Self Monitoring
 
Hypertension Medications
- Diuretics
 - ACE Inhibitors
 - Angiotensin Receptor Blockers (ARBs)
 - Beta Blockers
 - Dihydropyridine Calcium Channel Blockers
 
ACE Inhibitors
- -Pril Suffix
 - Hypertension
 - CHF
 - Diabetic Nephropathy
 - Inhibits ACE
 - Decreases GFR
 - Inhibits Constriction of Efferent Arteriole
 - Increased Bradykinin
 - Cough
 
ACE Inhibitor Toxicity
- CAPTOPRIL Mnemonic
 - Cough
 - Angioedema
 - Potassium Changes (Hyperkalemia)
 - Taste Change
 - Hypotension
 - Pregnancy Changes
 - Rash
 - Increased Renin
 - Lower Angiotensin II
 
Angiotensin Receptor Blockers (ARBs)
- -sartan suffix
 - Hypertension
 - CHF
 - Diabetic Nephropathy
 - Angiotensin II Receptor Blockers
 - Hyperkalemia
 - Pregnancy
 
Calcium Channel Blockers (Verapamil and Diltiazem)
- Slows AV Conduction
 - Angina Pectoris
 - Arrhythmias
 - Essential Hypertension
 - Bradycardia
 - Hypotension
 - Constipation
 - Peripheral Edema
 - Gingival Hyperplasia
 - Medication Education
 
Loop Diuretics
- Thick Ascending Limb of Loop of Henle
 - Inhibits Na+-K+-2Cl- Symporter
 - Sulfa Drug
 - Furosemide
 - Lasix
 - Gout
 - Ototoxicity
 - Hypocalcemia
 - Hypokalemia
 
Ethacrynic Acid
- Non-sulfa Drug
 - Phenoxyacetic Acid Derivative
 - Loop Diuretic 
 - Inhibits Na+-K+-2Cl- Cotransporter
 - Thick Ascending Loop of Henle
 - Diuresis
 - Hypokalemia
 - Ototoxicity
 - Gout
 
Thiazide Diuretics
- Early Distal Tubule
 - Inhibits Na/Cl Reabsorption
 - Sulfa Drug
 - Hyperglycemia
 - Hyperlipidemia
 - Hypercalcemia
 - Hyperuricemia
 - Hyponatremia
 - Hypokalemic Metabolic Alkalosis
 
K+ Sparing Diuretics
- CHF and Hypertension
 - Hypokalemia
 - Hyperaldosteronism
 - Collecting Tubule
 - Spironolactone
 - Competitive Aldosterone Receptor Antagonist
 - Amiloride and Triamterene
 - Block Na+ Channels
 - Hyperkalemia
 - Gynecomastia
 
Spironolactone (Aldactone)
- Inhibition of Aldosterone
 - Potassium Retention
 - Hypertension
 - Edema
 - Heart Failure
 - Hyperkalemia
 - Endocrine Effects
 - Avoid Potassium Supplements
 
Selective Beta-1 Blockers
- "-olol" Suffix
 - Beta-1 Selective
 - Atenolol
 - Esmolol
 - Metoprolol
 - Partial Beta agonists
 - Acebutolol
 
Nonselective Beta-Blockers
- "-olol" Suffix
 - Nonselective
 - Propranolol
 - Timolol
 - Nadolol
 - Partial β Agonist
 - Pindolol
 - Nonselective β with α Blocking
 - Carvedilol
 - Labetalol
 
Systemic Effects of Beta-Blockers
- Respiratory
 - Bronchoconstriction
 - Metabolic
 - Decreased Insulin
 - Decreased Glycolysis and Lipolysis
 - Eye
 - Reduces Intraocular Pressure
 
Cardiovascular Effects of Beta-Blockers
- Cardiac Myocytes and Vasculature
 - Decrease cAMP
 - Decreases SA and AV Node Conduction Velocity
 - Lower Blood Pressure
 - Decrease O2 Consumption
 - Decreases Mortality Post-MI
 
Selective Alpha-1 Blockers
- "-osin" suffix
 - Blocks Alpha1 Receptors
 - Hypertension
 - Benign Prostatic Hyperplasia (BPH)
 - Syncope
 - Orthostatic Hypotension
 
Nonselective Alpha-Blockers
- Phentolamine
 - Reversible
 - Pheochromocytoma (Diagnosis)
 - Hypertensive Crisis
 - Phenoxybenzamine
 - Pheochromocytoma (Treatment)
 - Orthostatic Hypotension
 - Reflex Tachycardia
 
Prazosin (Minipress)
- -osin suffix
 - Selective Alpha-1 Receptor Blocker
 - Hypertension
 - Benign Prostatic Hyperplasia (BPH)
 - Nightmares
 - Orthostatic Hypotension
 - Tachycardia
 - Priapism / Inhibition of Ejaculation
 - Nasal Congestion
 - First Dose Effect
 - Administer at Bedtime
 
Minoxidil (Loniten, Rogaine)
- Vasodilates Arterioles
 - Severe Hypertension
 - Baldness
 - Reflex Tachycardia
 - Blood Volume Expansion
 - Hypertrichosis
 - Pericardial Effusion
 - Rash
 - Give with Beta Blocker and Diuretic
 
Nitroprusside
- Direct Release of NO
 - Increase cGMP
 - Short Half-Life
 - Malignant Hypertension
 - Cyanide Toxicity
 
Hydralazine
- Reduce Afterload
 - Severe Hypertension
 - Safe during Pregnancy
 - CHF
 - Increases cGMP
 - Vasodilates Arterioles
 - Drug-induced Lupus
 - Reflex Tachycardia
 
Clonidine
- Alpha-2 Agonist
 - Hypertensive Urgency
 - Attention Deficit Hyperactivity Disorder (ADHD)
 - Tourette Syndrome
 - Opioid Withdrawal
 - CNS Depression
 - Respiratory Depression
 - Hypotension
 - Rebound Hypertension if Abrupt Cessation