ACE Inhibitors

Captopril (Capoten)

Enalapril (Vasotec)

1. Check B/P ≤ 90/60 HOLD
2. Monitor WBC, liver, kidney labs
3. Report flu-like symptoms
4. May cause angioedema/breathing difficulty (rare)
5. Raise HOB & use hard candy for persistent cough

Beta Blockers

Atenolol (Tenormin)

propranolol (Inderal) B1B2

Mesoprolol (Lopressor)

1. Check B/P ≤ 90/60 HOLD
2. AP ≤ 60 HOLD
3. Taper off medication
4. Report dizziness, weakness, fatigue, confusion, impotence, weight gain ≥ 2 lb/week
5. Asthma/HF use CAUTIOUSLY
6. SE = bradycardia, orthostatic hypotension, bronchoconstriction

Diuretics

Thiazide: Hydrochlorothiazide (HydroDiuril)

Loop: furosemide (Lasix)

K⁺ Sparing: spironolactone (Aldactone)

1. Check B/P ≤ 90/60 HOLD
2. Check K⁺ ≤ 3.5 HOLD
3. Report weight loss ≥ 2 lb/week, fatigue, muscle cramping
4. Limit sodium intake
5. SE = postural hypotension, dizziness

Vasodilators

Isosorbide dinitrate (Isordil)

hydralazine (Apresoline)

1. Brings more O₂ to the heart
2. SE = headache, orthostatic hypotension, tachycardia

Calcium Channel Blockers

verapamil (Calan)

nifedipine (Procardia)

diltiazem (Cardizem)

amlodipine (Norvasc)

1. Check B/P ≤ 90/60 HOLD
2. Check AP ≤ 60 HOLD
3. Check I/O
4. NO GRAPEFRUIT JUICE
5. Taper off
6. Report sudden weight gain ≥ 2 lb