Anti-hypertensives

Question 1

Indications to start pharmacological management

Answer 1

Stage 1 HTN <80 years with end organ damage, CVS, renal disease, diabetes or 10year CVS risk >10%.
Anyone with stage 2 HTN

Question 2

Step 1 of pharmacological management

Answer 2

ACEI if <55 years
Calcium channel blocker if >55 years or African or Caribbean

Question 3

Alternative for step 1 management

Answer 3

ARB

Question 4

Step 2 of phamacological management

Answer 4

Combine CCB and ACEI or ARB

Question 5

Step 3 of pharmacological management

Answer 5

Add thiazide like diuretic - Indapamide

Question 6

Step 4 of pharmacological management if potassium is >4.5mmol

Answer 6

Increase thiazide like diureti or,
Alpha blocker or,
Beta blocker

Question 7

Pharmacological management if potassium is <4.5mmol/L

Answer 7

Add spironolactone

Question 8

Eg of ACEI

Answer 8

Ramipril, catopril, enalapril, lisinopril

Question 9

Eg of ARB

Answer 9

Candesartan, losartan, valsartan

Question 10

Eg of calcium channel blocker

Answer 10

Nifedipine, amlodipine, verapamil, diltiazem

Question 11

Eg of thiazide like diuretic

Answer 11

Indapamide

Question 12

Eg of alpha blocker

Answer 12

Doxacosin