ADRENERGIC BLOCKERS ALPHA, Lecture notes of Nursing

MEDICATIONS IN ALPHA ADRENERGIC BLOCKERS WITH NURSING INTERVENTION AND SIDE EFFECTS

Typology: Lecture notes

2022/2023

Uploaded on 03/24/2023

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1) Alpha - adrenergic blockers
Block alpha-adrenergic receptors, resulting in
vasodilation and decreased blood pressure
They decrease VLDL and LDL that are responsible for
atherosclerosis (build-up of fatty plaques in the
arteries). In addition, they increase HDL levels
("friendly lipoprotein")
Alpha blockers do not affect glucose metabolism and
they do not affect respiratory function. They are safe
for patients with diabetes and COPD.
These drugs cause sodium and water retention with
edema. Diuretics are frequently given with alpha-
adrenergic blockers to decrease fluid accumulation in
the extremities.
Examples of Alpha- adrenergic Blockers
Selective Alpha - Adrenergic Blockers
Cardura (Doxazosin Mesylate)
Minipress (Prazosin HCI)
Hytrin (Terazosin HCI) Non-selective Alpha -
Adrenergic blockers
Dibenzyline (Phenoxybenzamine HCI)
Regitine (Phentolamine)
Priscoline HCI (Tolazoline HCI)
(Phentolamine, Phenoxybenzamine and Tolazoline are
more potent alpha blockers and are used primarily
for hypertensive crisis and severe hypertension due
to pheochromocytoma).
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1) Alpha - adrenergic blockers  Block alpha-adrenergic receptors, resulting in vasodilation and decreased blood pressure  They decrease VLDL and LDL that are responsible for atherosclerosis (build-up of fatty plaques in the arteries). In addition, they increase HDL levels ("friendly lipoprotein")  Alpha blockers do not affect glucose metabolism and they do not affect respiratory function. They are safe for patients with diabetes and COPD.  These drugs cause sodium and water retention with edema. Diuretics are frequently given with alpha- adrenergic blockers to decrease fluid accumulation in the extremities. Examples of Alpha- adrenergic Blockers  Selective Alpha - Adrenergic Blockers  Cardura (Doxazosin Mesylate)  Minipress (Prazosin HCI)  Hytrin (Terazosin HCI) Non-selective Alpha - Adrenergic blockers  Dibenzyline (Phenoxybenzamine HCI)  Regitine (Phentolamine)  Priscoline HCI (Tolazoline HCI) (Phentolamine, Phenoxybenzamine and Tolazoline are more potent alpha blockers and are used primarily for hypertensive crisis and severe hypertension due to pheochromocytoma).

Side - effects and adverse reactions (Alpha - adrenergic Blockers) Due to Dizziness Faintness Postural Lightheadedness Hypotension Increased heart rate Nausea Drowsiness Nasal congestion caused by vasodilation Edema Weight gain  Side effects of Phentolamine o Hypotension o Reflex tachycardia o Nasal congestion o GI disturbances