You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your responses must be substantive and not just agreeing with someone’s work. You need to add by explaining more, refuting a point or correcting a point.  a minimum of 150 words and one reference with in text citation, one reference for each respond.  

Discussion 1 (Everton)

Module 2 Discussion

Hypertension & Teaching Points of Antihypertensive Drugs


Briefly describe the therapeutic actions of drugs affecting blood pressure (diuretics, ACE inhibitors, ARBs, CCB, sympathetic nervous system drugs).

High blood pressure medications are medications that are prescribed and used to lower a patient’s blood pressure by dilating the blood vessels, reducing the amount of pressure it takes for the blood to flow through the body by making it easier for the heart to pump blood (Cleveland Clinic 2022). There are many types of high blood pressure medications, each brings the blood pressure down in its own specific ways. For instance, angiotensin- converting enzyme inhibitors are high blood pressure medications that stop the body from making angiotensin II, which constricts the blood vessels (Cleveland Clinic, 2022). According to Cleveland Clinic (2022), another form of high blood pressure medication is angiotensin II receptor blockers which are similar to angiotensin- converting enzyme inhibitors but instead keep angiotensin II from constricting the blood vessels. There are also three types of diuretics, loop, thiazide, and potassium- sparing, which all assist the kidneys in excreting extra fluid and salt into the urine which in turn helps dilate the blood vessels (Cleveland Clinic, 2022). Calcium channel blockers are blood pressure medications that keep calcium out of the blood vessels which help the heart muscle relax (Cleveland Clinic, 2022).


What important teaching points should be addressed for patients receiving antihypertensive drugs?

When teaching a patient about high blood pressure medications, it is important that the patient understands the side effects of taking them in order to prevent any complications. According to the American Heart Association (2021), angiotensin- converting enzyme inhibitors can cause angioedema, skin rash, and a hacking cough. Therefore, it is important to educate the patient on going to the emergency room if they are have symptoms of an allergic reaction, such as swelling to the mouth, tongue, or throat. With this medication, it is also important to teach not to eat or drink things with too much potassium as this angiotensin- converting enzyme inhibitors can increase potassium in the body. As high blood pressure medications are intended to lower the patient’s blood pressure, it is also important to educate the patient and family on not getting up or making sudden movements too fast within the hour of taking the medications as they can cause dizziness due to a sudden drop in the blood pressure with these movements. Due to the excess excretion of fluids from the body, diuretics can specifically cause a patient to become dizzy. If a patient needs assistance with ambulating, it is important to educate the family on ensuring someo