NURSE 305 Lecture Notes - Lecture 9: Stress Management, Antimineralocorticoid, Triamterene
Document Summary
Diagnostic studies: bp monitoring, ophthalmic exam, ua (r/o kidney damage, bmp (r/o kidney damage, cbc (r/o kidney damage, lipid panel (r/o cad, 12-lead ekg (r/o lvh) Non-pharmacological therapy ( lifestyle modifications : weight reduction, dash & low sodium diet, moderate etoh, physical activity, avoid tobacco, stress management. Pharmacological treatment: diuretics, adrenergic antagonists / blockers, raas drugs, calcium channel blockers. Mnemonic: a = acei, arb, alpha blockers, b = bb, c = ccb, d = diuretics (thiazide, loop, k-sparing) Diuretics: thiazide & thiazide-like diuretics = first line, hydrochlorothiazide, chlorothiazide, loop diuretics, furosemide, torsemide, bumetanide, potassium-sparing diuretics, triamterene, spironolactone also known as aldosterone antagonist. The nurse is caring for an african-american patient who has been taking a beta blocker to treat hypertension for several weeks with only slight improvement in blood pressure. The nurse will contact the provider to discuss: adding a diuretic medication, changing to an ace inhibitor, decreasing the beta blocker dose, doubling the beta blocker dose.
