BP pharm management

Question 1

Stage 1 or 2 HTN

Answer 1

S1 - CBPM over 140/90 and ABPM/HBPM over 135/85

S2 - CBPM over 160/100 and ABPM/HBPM over 150/95

Question 2

Indications to prescribe

Answer 2

All S2 or 3 HTN

People with S1 who have one or more of following:

• Target organ damage
• Established CVD
• Renal disease
• Diabetes
• 10 year CV risk equivalent to 20% or ge

Question 3

How is CV risk estimated?

Answer 3

ASSIGN

Based on age, BP, weight/height, gender, smoking, cholesterol, ethnicity, social class, family hx, diabetes/RA/renal function

Question 4

How is MAP measured?

Answer 4

TPR x CO

Question 5

ACE/ARB CI’s

Answer 5

Angioneurmtic oedema
Renal artery stenosis
Pregnancy

Question 6

CCBs

Answer 6

Block entry of calcium through slow channels in cardiac and smooth muscle
Reduce CO

Question 7

Dipyrimidine CI’s

Answer 7

Uncontrolled HF
Cardiogenic shock
Significant AS
Unstable angina

Question 8

How do thiazides and aldosterone ants work?

Answer 8

Thiazides - inhibits Na/Cl channels in DCT

Spironolactone - Na/Cl inhibits channels in CT