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MEDICATIONS FOR HTN (SIDE EFFECTS OF ALL (dizziness, fatigue/tiredness,…

- - - - A.A patients may benefit
    - - avoid with pregnancy
    - - avoid with pregnancy
    - - beta blockers
        
        used in pts who had recent MI
      - alpha blockers
    - - A.A patients may benefit
    - - avoid with pregnancy
- - - - noncardioselective beta blockers
        
        propranalol (inderal)
        
        block beta 2 receptors
    - - fact that they block beta 2 receptors associated with:
        
        airway
        
        vascular smooth muscle
      - can exacerbate airway diseases such as:
        
        asthma
        
        bronchitis
        
        emphysema
      - can exacerbate peripheral vascular disease such as:
        
        raynaud's
- - - - if epi and norepi bind to receptors, FIGHT OR FLIGHT RESPNSE kicks in
        
        increased HR
        
        increase BP
        
        increased muscle contraction
        
        relaxation of smooth muscle in bronchial tubes in respiratory system
        
        allows expansion of lungs for easier intake of O2
- - - - leads to increased BP
  - - - nervous system inhibitors (centrally acting drugs)
        
        reduce nerve impulses to the blood vessels
        
        the same way alpha 1 blockers do
        
        also reduces heart rate (like beta blockers)
        
        b/c its centrally acting
        
        decreases blood pressure
        
        block influence of norepi- on the heart = decreased BP
        
        preferred medication in pregnancy
        
        methyldopa
        
        2 more items...
        
        RENAL DISEASE
- - - - by relaxing the smooth muscle
        
        helps relax the sphincter
      - used for pt with diabetes and BPH
        
        effects are the same as beta blockers
- - - - once pt stablizes, HCP will prescribe an oral hypertensive to keep BP under control