A patient is going to receive her first-ever dose of enalapril (Vasotec) for treatment of hypertension.

A patient is going to receive her first-ever dose of enalapril (Vasotec) for treatment of hypertension. What are the potential adverse effects of this medication? 5. Why is it important that beta blocker therapy be tapered for several weeks before stopping? Explain the physiology behind this. 6. Why do thiazide diuretics produce less diuresis than the loop diuretics? Describe the potential adverse effects of the loop diuretics and explain briefly why they occur. 7. What effect can spironolactone therapy have upon potassium levels? Should patients taking spironolactone be advised to take oral potassium supplements? What exactly is spironolactone’s mechanism of action? Why might this drug produce effects on the reproductive system? Be specific. 8. Describe the mechanism of action of the osmotic diuretic mannitol. Describe how mannitol is able to remove fluid from the body in your own words. Name several of its therapeutic uses. 9. Which ethnic group might require polypharmacy (use of multiple medications) to control mild essential hypertension? Explain. 10. Answer both parts of this question a. What are some important symptoms of hypokalemia in a patient that a nurse or other health professional would need to know? What can cause hypokalemia?