The nurse is caring for a patient recently diagnosed with hypertension. The patient asks what medications may be used to treat the condition. The nurse begins by discussing the primary antihypertensive agents, which include
1. thiazide diuretics.
2. angiotensin-II receptor blockers (ARBs).
3. beta-adrenergic antagonists.
4. direct-acting vasodilators.
5. peripheral adrenergic antagonists.
1,2
Rationale 1: Diuretics are considered a primary antihypertensive agent and should be discussed with this patient.
Rationale 2: ARBs are considered a primary antihypertensive agent and should be discussed with this patient.
Rationale 3: Beta-adrenergic antagonists are considered second line drugs for treatment of hypertension.
Rationale 4: Direct-acting vasodilators are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.
Rationale 5: Peripheral adrenergic antagonists are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.
Global Rationale: Diuretics and ARBs are considered primary antihypertensive agents and should be discussed with this patient. Direct-acting vasodilators, beta-adrenergic blockers, and peripheral adrenergic antagonists are considered an alternative antihypertensive medication and are prescribed only when first-line agents do not produce a satisfactory response.
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