Which of the following antihypertensive medications does the nurse anticipate administering for a patient newly diagnosed with hypertension?
A) Propranolol (Inderal®)
B) Furosemide (Lasix®)
C) Hydrochlorothiazide (Microzide®)
D) Lisinopril (Prinivil®)
D) Lisinopril (Prinivil®)
Explanation: A) Beta-blockers, such as propranolol, are no longer first-line treatment for hypertension.
B) For many decades, diuretics, especially the thiazide class, were the preferred drugs for the initial treatment of HTN. Diuretics lower blood pressure by increasing urine output and reducing blood volume. They are safe and effective medications that are still widely prescribed. However, with the discovery of the importance of the RAAS in controlling blood pressure, medications were developed to block aspects of this pathway in hypertensive patients. Drugs blocking the RAAS have become first-line drugs in treating both HTN and heart failure.
C) For many decades, diuretics, especially the thiazide class, were the preferred drugs for the initial treatment of HTN. Diuretics lower blood pressure by increasing urine output and reducing blood volume. They are safe and effective medications that are still widely prescribed. However, with the discovery of the importance of the RAAS in controlling blood pressure, medications were developed to block aspects of this pathway in hypertensive patients. Drugs blocking the RAAS have become first-line drugs in treating both HTN and heart failure.
D) With the discovery of the importance of the RAAS in controlling blood pressure, medications were developed to block aspects of this pathway in hypertensive patients. Drugs blocking the RAAS have become first-line drugs in treating both HTN and heart failure. The primary medications in this class block angiotensin-converting enzyme (ACE). Lisinopril (Prinivil®) is a widely prescribed medication in this drug class.
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