Hypertension & Teaching Points of Antihypertensive Drugs Essay

Hypertension & Teaching Points of Antihypertensive Drugs Essay

Hypertension & Teaching Points of Antihypertensive Drugs Essay

Therapeutic actions of drugs affecting blood pressure

Don't use plagiarized sources. Get Your Custom Essay on
Hypertension & Teaching Points of Antihypertensive Drugs Essay
Just from $13/Page
Order Essay

Diuretics: The three basic types of diuretics used to lower blood volume and blood pressure are: Thiazide, Loop, and Potassium-sparing diuretics. Thiazide diuretics inhibit the reabsorption of sodium, chloride, and water in the distal tubules while promoting the excretion of potassium, bicarbonate, and magnesium (Oparil et al., 2018). Loop diuretics inhibit the reabsorption of sodium, chloride, and water in the ascending loop of Henle and promote the excretion of potassium. Potassium-sparing diuretics act on the distal renal tubule to inhibit the reabsorption of sodium ions in exchange for potassium, thus retaining potassium in the body.

ORDER A CUSTOM PAPER NOW

Angiotensin-converting enzyme (ACE) inhibitors: ACE inhibitors block the action of the angiotensin-converting enzyme as it attempts to convert angiotensin I to angiotensin II. Angiotensin II is a potent vasoconstrictor (Oparil et al., 2018). This action also decreases sodium and water retention and lowers peripheral vascular resistance, both of which lower blood pressure.

Angiotensin II receptor blockers (ARBs): ARBs selectively block the binding of angiotensin II to receptor sites in the vascular smooth muscle and adrenal tissues by competing directly with angiotensin II (Oparil et al., 2018).

Calcium channel blockers (CCB): CCB lowers blood pressure by interfering with the transmembrane flux of calcium ions. This results in vasodilation, which reduces blood pressure. CCBs also block sinoatrial and atrioventricular node conduction, resulting in a decreased heart rate (Silva et al., 2019).

Sympathetic nervous system drugs (sympathomimetic drugs): Drugs like acebutolol and pindolol have intrinsic sympathomimetic activity (ISA). They stimulate beta-adrenergic receptors and oppose the action of the released epinephrine. Stimulation of beta-adrenergic receptors releases epinephrine, which is responsible for increased heart contraction and heart rate (Silva et al., 2019). Beta-blockers with ISA lower blood pressure and overall resistance to blood flow while maintaining the heart rate.

Important Teaching Points Should Be Addressed For Patients Receiving Antihypertensive Drugs

Men on Thiazide diuretics should be informed that they may experience decreased libido and sexual performance. Patients on loop diuretics should be educated on the side effects of dehydration and orthostatic hypotension. The side effects increase the risk of falls in older patients. The provider should teach patients and their caregivers to monitor for and report patient dizziness, falls, or confusion as soon as possible and discontinue the medication. Furthermore, patients should be educated to take diuretic medications in the morning instead of taking them at night to prevent nocturia (Silva et al., 2019). Thiazide and loop diuretics are associated with hypokalemia. Thus, the provider should educate patients on these potassium-depleting diuretics to eat foods high in potassium, like bananas and orange juice. Patients may also require potassium supplementation to maintain adequate serum potassium levels.

Patients taking an ACE inhibitor for the first time should be instructed to get out of bed slowly to avoid the severe hypotensive effect that often occurs with initial use. Orthostatic hypotension may occur with subsequent doses, but it is less severe. Older patients on ACE inhibitors should be informed that they are at the greatest risk for postural hypotension due to the cardiovascular changes associated with aging. Lifestyle modification should be emphasized in patients on antihypertensives to improve health outcomes. Patients should be educated on taking healthy diets such as the DASH diet, reducing alcohol consumption, quitting smoking, and engaging in regular physical exercises to boost cardiovascular health (Oparil et al., 2018). Lastly, medication adherence should be emphasized to achieve optimal BP control. 

References

Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F., Grassi, G., Jordan, J., Poulter, N. R., Rodgers, A., & sWhelton, P. K. (2018). Hypertension. Nature reviews. Disease primers, 4, 18014. https://doi.org/10.1038/nrdp.2018.14

Silva, I. V. G., de Figueiredo, R. C., & Rios, D. R. A. (2019). Effect of Different Classes of Antihypertensive Drugs on Endothelial Function and Inflammation. International journal of molecular sciences, 20(14), 3458. https://doi.org/10.3390/ijms20143458

ORDER A PLAGIARISM-FREE PAPER HERE

Module 2 Discussion

No unread replies.No replies.

null

icon Hypertension & Teaching Points of Antihypertensive Drugs

The advanced practice nurse is updating the plan of care of nursing home patients with hypertension.

Briefly describe the therapeutic actions of drugs affecting blood pressure (diuretics, ACE inhibitors, ARBs, CCB, sympathetic nervous system drugs).

What important teaching points should be addressed for patients receiving antihypertensive drugs?

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Please do not include websites.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Proscholarly
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Medicine
Very fond of the paper written. The topic chosen is defiantly trending at this time
Customer 452495, July 27th, 2023
Medicine
Well researched paper. Excellent work
Customer 452441, November 11th, 2022
Medicine
This was done very well. Thank you!
Customer 452441, November 11th, 2022
DESIGN AND IMPLEMENTATION OF NURSE ADVOCATE HEALTHCARE PROGRAM
The absolute best ! Thanks for great communication, quality papers, and amazing time delivery!
Customer 452467, November 14th, 2022
Medicine
Great work, Thank you, will come back with more work
Customer 452441, November 11th, 2022
Medicine
Good work. Will be placing another order tomorrow
Customer 452441, November 11th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat