Adrenergics (carvedilol, clonidine, doxazosin)
While caring for a client with hypertension who has recently started taking carvedilol, the client reports, "This medication seems to give me a rash." Which of the following statements by the health care provider is best?
"I am glad you mentioned this. Does this rash itch or hurt?"
A client calls the health care provider at 2 p.m. stating, "I forgot to take my daily blood pressure pill at 8 a.m. like I usually do. Should I take it now?" Which of response by the healthcare provider is best?
"Yes, it is important to take the medication each day."
Which medications are included in the adrenergic antihypertensives class? Select all that apply.
*Clonidine *Carvedilol *Methyldopa
The health care provider suspects 1._________________ as the reason for the current symptoms and recommends the individual 2.___________________.
1. A genetic enzyme disorder 2. discontinue the dose of carvedilol slowly
The 1._______________ effects of carvedilol are responsible for causing 2._______________ by interfering with receptors in the pancreas.
1. Beta blocking 2. Hyperglycemia
In addition to hypertension, carvedilol is also prescribed to treat 1.______________ and impaired left ventricular function after a 2._____________________.
1. Heart failure 2. Myocardial infarction (MI)
In which individual should clonidine be used with caution?
87-year-old with heart failure and hypertension
Match the medication to the class in which it belongs.
Alpha-2 Adrenergic Stimulators -Clonidine -Methyldopa Dual-action alpha-1 & Beta receptor blockers -Carvedilol -Dilevalol -Labetalol
Select the indications for use of carvedilol and clonidine by placing marks the appropriate column(s). Select all that apply for each medication.
Carvedilol -Hypertension -Heart failure -Left ventricle dysfunction Clonidine -ADHD -Hypertension -Opioid Withdrawal
Use the drop down menus to fill in the missing information related to dosing of carvedilol.
Carvedilol -Route: Oral -Dose: 6.25-25 mg -Frequency: Twice daily Carvedilol CR -Route: Oral -Dose: 20-80 mg -Frequency: Daily
Use the drop down menus to fill in the missing pharmacokinetic information of carvedilol.
Carvedilol -Route: Oral -Onset: 20-120 min -Peak: 1-4 hr -Duration:8-24 hrs Carvedilol CR -Route: Oral -Onset: Unknown -Peak: 5 hr -Duration:24 hr
Use the drop down menus to fill in the missing pharmacokinetic information of clonidine.
Half-Life: 6-20 hours -Route: Oral -Onset: 30-60 min -Peak: 3-5 hr -Duration: 8 hr Half-Life: Unknown -Route: Transdermal -Onset: 2-3 days -Peak: Unknown -Duration: 7 days
Use the drop down menus to fill in the missing information related to dosing of clonidine.
PO: -Dose: 0.2-0.6 mg -Frequency: Daily Transdermal patch (topical) -Dose: 0.1-0.3 mg/24 hr -Frequency: weekly
Which condition may result from stopping clonidine therapy abruptly?
Rebound hypertension
During a follow up visit with the health care provider a person taking carvedilol reports the following information. Which indicates a possible complication due to the medicine?
Shortness of breath with mild exertion
An individual with diabetes and hypertension is seen in urgent care with severe hypoglycemia. She is concerned that her usual symptoms of low blood sugar were not present, allowing her levels to drop to the point she became faint. Which of her current medications may contribute to the masking of her hypoglycemia?
labetalol
