Cardio 10 Deck 2

Question 1

ACE and ARBs are

Answer 1

cario protective

Question 2

Do you have to wait until the full dose of the first drug is achieved before starting a second drug for HTN

Answer 2

no

Question 3

If BP is not controlled

Answer 3

Add a second drug, or

Substitute a drug in a different class.

Question 4

Choose the second drug for HTN based on

Answer 4

its being different from the adverse drug reaction (ADR) profile and action of the first drug.

Question 5

Children and adolescents

HTN managment

Answer 5

Definition of HTN are based on age, height, and BP.
Lifestyle modification is initial therapy.
Drugs are similar to those for adults.

Question 6

Older adults

HTN Managment

Answer 6

HTN occurs in two out of three adults older than age 65 years.
Begin with lifestyle modifications.
Target BP goals less stringent than young adult

Question 7

Definition of HTN in children and adolescents are based on

Answer 7

age, height, and BP.

Question 8

Patient Variables: Women -Contraceptives

Answer 8

Oral contraceptives and hormone replacement therapy may increase BP due because of weight gain.

Question 9

During pregnancy there may be

Answer 9

increased risks to mother and fetus.

Question 10

HTN drugs of choice with pregnant women

Answer 10

Methyldopa, beta blockers, and vasodilators are drugs of choice.

Question 11

Patient Variables: Women AVOID in pregnancy

Answer 11

ACEIs, ARBs, and direct renin inhibitors.

Question 12

Preeclampsia occurs after the

Answer 12

20th week of gestation and requires intensive monitoring; preexisting HTN is NOT the same.

Question 13

Native Americans have the (HTN)

Answer 13

same or slightly higher prevalence rates compared with the Caucasian population.

Question 14

Hispanics have the (HTN)

Answer 14

same to slightly lower prevalence rates as caucasions

Question 15

Asians (HTN)

Answer 15

have about the same prevalence rate as Caucasians.

Question 16

African Americans have (HTN)

Answer 16

a higher and earlier HTN incidence.

Question 17

African Americans Reduced response to

Answer 17

monotherapy, beta blockers, ACEIs, and ARBs

Question 18

African Americans equal reqsponse if

Answer 18

mixed with a diuretic

Question 19

BiDil was the first drug

Answer 19

suggested for African American patients specifically

Question 20

What is the first line drug to treat HTN in African Americans

Answer 20

CCB

Question 21

BP Measurement Caffeine, exercise, and smoking to be avoided for at least

Answer 21

30 minutes prior to measurement with home or clinicl measuments

Question 22

Laboratory values monitored if any ADRs for HTN medications

Answer 22

Electrolytes
Renal function
Complete blood count

Question 23

Self-Care Monitoring HTN

Answer 23

May unmask true white coat syndrome
May increase adherence to regimen
Fosters implementation of Chronic Care Model
Patient activation may “spill over” into other self-care activities

Question 24

How to unmask white coat syndorme

Answer 24

have them take BP at home and log the results

check every other day until they come back

Question 25

Adherence issues ADR

Answer 25

Sexual dysfunction, fatigue, and depression

Question 26

Other adherence issues

Answer 26

Complexity of drug regimen
Use of combined drugs when possible
More flexibility with goals to keep patient on medications