NURS 2004 Chapter Notes - Chapter 47: Gout, Clinical Urine Tests, Dash Diet
28 Jan 2017
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Chapter 47 drugs for hypertension nursing implications. Therapeutic goal: the goal of antihypertensive therapy is to prevent the long-term sequelae of hypertension (heart disease, kidney disease, stroke) while minimizing drug effects that can reduce quality of life. For most patients, bp should be reduced to less than 140/90 mm hg in patients 18-59 years or less than 150/90 mm hg in patients 60 years and older. Baseline data: the following tests should be done in all patients: bp; electrocardiogram; complete urinalysis; hemoglobin and hematocrit; and blood levels of sodium, potassium, calcium, creatinine, glucose, uric acid, triglycerides, and cholesterol (total, ldl, and hdl cholesterol). Identifying high risk patients: whe(cid:374) taki(cid:374)g the patie(cid:374)t"s drug histor(cid:455), atte(cid:373)pt to ide(cid:374)tif(cid:455) drugs that (cid:272)a(cid:374) raise bp or that can interfere with the effects of antihypertensive drugs. Some drugs of concern are listed under minimizing adverse interactions. Routes: all drugs for chronic hypertension are administered orally.
