-interventions for calcium channel blocker - --do not crush or chew
-administer over 2-3 minutes
- taper dose if d/c
, -monitor HR and BP
-Alpha adrenergic blockers names - --zosin
-Therapeutic use of alpha adrenergic blockers - --primary HTN
-Doxazosin may be used in treatment of BPH
-interactions of calcium channel blockers - -- risk of hypotension and
syncope if given with other antihypertensives, beta blockers or diuretics
-NSAIDs may decrease the effects of prazosin
-ADR of calcium channel blockers - -Dizzy
Fainting
-Interventions for calcium channel blockers - -1) monitor HR and BP
2) take at bedtime to minimize hypotension
3) notify of any ADR
4) consult before any OTC
-Uses of central alpha agonists - -1) hypertension
2) hypertensive crisis
3) severe cancer pain (epidural)
-Interactions of central alpha agonists - -- no anticoagulant
- hepatic failure
- no MOAIs
- NO methyldopa through IV with barbiturates or sulfonamides
- use caution in CVA, MI, DM, MDD or chronic renal failure
-No lactation
-Side effects of central alpha agonists - --dry mouth
-drowsiness
-rebound hypertension
-black or sore tongue
-leukopenia
-interventions of central alpha agonists - --monitor CNS, CBC, HR and BP
-assess weight gain or edema
- rebound in 1st 48 hrs
- never skip a dose
-take at bed time
- notify for jerky movements, prolonged dizziness, rash, yellowing of skin
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