Anti-Hypertensives

Question 1

What to give a pt w/ CHF to reduce BP?

Answer 1

• Thiazide
• Beta-blocker
• ACEi, ARB
• Aldo antagonist

Question 2

What to give a pt after a MI to reduce BP?

Answer 2

• Beta-blocker
• ACEi
• Aldo antagonist

Question 3

What to give a pt w/ high CVD risk to reduce BP?

Answer 3

• Thiazide
• Beta-blocker
• ACEi
• CCB

Question 4

What to give a diabetic to reduce BP?

Answer 4

• Thiazide
• Beta-blocker
• ACEi, ARB
• CCB

Question 5

What to give a CKD pt to reduce BP?

Answer 5

-ACEi, ARB

Question 6

Adverse events of diuretics

Answer 6

• hypokalemia (get rid of too much K+)

- metabolic alkalosis (not getting rid of bicarb)

Question 7

AE of Beta-blocker

Answer 7

Conduction delay since negative inotrope

Question 8

AE of ACEi/ARB

Answer 8

Hyperkalemia (not getting rid of K+ since suppressing ATII and aldo)

Question 9

AE of Alpha-2 agonist

Answer 9

Lots of CNS effects => sedation and dementia => contraindicated in geriatric pts

Question 10

AE of alpha-1 antagonists

Answer 10

1st dose effect of orthostasis => take first dose in bed

Question 11

AE of Non-dihydropyridine CCBs

Answer 11

= Verapamil and Diltiazem

• Constipation (esp from Verapamil)
• negative inotrope => conduction delays

Question 12

AE of dihydropyridine CCBs

Answer 12

-edema and headaches from the vasodilation

Question 13

Captopril

Answer 13

ACEi

Question 14

Lisinopril

Answer 14

ACEi

Question 15

Losartan

Answer 15

ARB

Question 16

Aliskerin

Answer 16

Direct renin inhibitor

Question 17

Clonidine

Answer 17

Central alpha-2 agonist

Question 18

Propanolol

Answer 18

Non-selective beta-blocker

Question 19

Atenolol

Answer 19

Selective beta-blocker

Question 20

HCTZ

Answer 20

= hydrochlorothiazide

-thiazide diuretic

Question 21

Lasix

Answer 21

= LAsts SIX hours

-loop diuretic