Cardio- HTN Flashcards

HTN

1
Q

Blood Pressure Goals

A

<130/80

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2
Q

Side Effects

Thiazide Diuretics SE

A
  • ↓ Na, Cl, K, Mg
  • ↑Ca, Uric Acid, Lipid, Glucose
  • Sexual Dysfunction
  • Rash
  • Photosensitivity
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3
Q

CI of Thiazides

(3)

A
  • Sulfa allergy
  • CrCl < 30
  • Gout
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4
Q

Hydrochlorothiazide
Chlorothiazide (Diuril)
Chlorthalidone
Metolazone (Zaroxyln)

A

Thiazide Diuretics

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5
Q

Side Effects

Loop Diuretic SE

A
  • ↓Na, Cl, K, Mg, Ca
  • ↑ Uric Acid, Lipid, GLucose
  • Ototoxicity
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6
Q

CI of Loop Diuretics

Exception?

A
  • Sulfa allergy

Exception Ethacrynic Acid

otherwise good in renal function

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7
Q
  • Furosemide (Lasix)
  • Budesonide (Bumex)
  • Torsemide (Demadex)
  • Ethycrynic Acid (Edecrin)
A

Loop Diuretics

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8
Q

IV to PO Conversion

  • Furosemide (Lasix)
  • Budesonide (Bumex)
  • Torsemide (Demadex)
  • Ethycrynic Acid (Edecrin)

IV:PO

A
  • Furosemide (Lasix) - 20:40
  • Budesonide (Bumex) - 1:1
  • Torsemide (Demadex) - 20:20
  • Ethycrynic Acid (Edecrin) -50:50
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9
Q

Side Effects

Potassium Sparing Diuretic SE

A
  • HyperKalemia
  • Hyponatremia
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10
Q

CI of Potassium Sparing Diuretics

A

CrCl < 30

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11
Q

Aldostrone antagonist/ K Sparing Diuretics used in HF

A
  • Spironolactone (Aldactone)
  • Empleronone (Inspra)

lower dosed in HF (MDD 50 mg)

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12
Q

Side Effects

Beta Blocker SE

A

BLOCER
* Bradycardia/Bronchospasm
* Lipids ↑/Libido ↓
* Orthostatic Hypotension
* Conduction abnormalities (AV block/negative chronotropic)
* Constriction of vasculature/Cold Extremities (Reynauds)
* ↓ emotion (depression)
* reduced recognition of hypoglycemia

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13
Q

IV BB (6)

A

MAPLES
* Metoprolol
* Atenolol
* Propranolol
* Labetolol
* Esmolol
* Sotalol

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14
Q

Beta-1 selective (7)

A

1 Heart= MAN-BABE
* Metoprolol
* Atenolol
* Nebivolol
* Bisprolol
* Acebutolol
* Betaxolol
* Esmolol

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15
Q

BB used in HF (3)

A
  • Metoprolol Succinate (Toprol XL)
  • Bisoprolol (Zebeta)
  • Carvedilol (Coreg)

Lower dose in HF

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16
Q

CI of Beta Blockers

A
  • Asthma/COPD
  • Reynauds
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17
Q

Side Effects

Calcium Channel Blocker SE

A
  • Hypotension
  • Constipation
  • Edema
  • Gingival Hyperplasia
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18
Q

Diltiazem (Cardizem, Tiazac, Dilt)
Verapamil (Calan, Isoptin, Verelan)

A

Non- DHP CCBs

19
Q

Which CCB is a emulsion and is CI in patietns with soy/egg allergy?

A

Clevidipine (Cleviprex)

20
Q

IV CCBs

A
  • Nicardipine
  • Clevidipine
21
Q

CI of Non-DHP CCB

22
Q

Treatment for Reynauds

23
Q

HTN medication class that are both CYP3A4 Inhibitors and Substrates

24
Q

Side Effects

ACI inhibitor SE/CI

A

CAPTOPRIL
* Cough
* Angioedema
* ↑ Potassium
* Taste change
* Othostatic hypotension
* 🚫 in pregnancy
* Renal artery stenosis
* Leukocytosis -Captopril

25
Q

IV ACE Inhibitor

A

Enalapril (Vasotec)

26
Q

Drug Class ending in -sartan

27
Q
  • Prazosin (Minipress)
  • Doxazosin (Cardura)
  • Terazosin (Hytrin)
  • Alfuzosin (Uroxatral)
  • Silodosin (Rapaflo)
A

Alpha blocker

28
Q

Alpha blockers that does not require titration

A

Silodosin
Alfuzosin

29
Q

Side Effect

Alpha Blocker SE (3)

A
  • Hypotension
  • Intraoperative floppy iris syndrome
  • Retrograde ejaculation
30
Q

Kapvay
Catapres

31
Q
  • Clonidine (Catapres, Kapvay)
  • Guanfacine (Intunic, Tenex)
  • Methyldopa
A

Alpha Agonist

32
Q

Side Effects

Alpha Agonist SE

A
  • Dry mouth, constipation
  • Sexual dysfunction
  • Orthostais
  • Depression
  • Bradycardia
33
Q

What HTN meds are available in pregnancy

A
  • Nifedipine XL
  • Labetalol
  • Methydopa
  • Hydralazine
34
Q

Combinations

Lotrel

A

amplodipine + benazepril

35
Q

Combinations

Tarka

A

verapamil + trandolapril

36
Q

Combinations

Exforge

A

amlodipine + valsartan

37
Q

Combinations

Twynsta

A

amlodipine + talmisartan

38
Q

Combinations

Azor

A

amlodipine + omesartan

39
Q

Combinations

Ziac

A

bisoprolol + HCTZ

40
Q

Combinations

Consensi

A

amlodipine + celecoxib

41
Q

Combinations

Hyzaar

A

losartan + HCTZ

42
Q

Combinations

Aldactozide

A

spironolactone + HCTZ

43
Q

Medications that increase BP

A
  • Estrogen
  • Steroids
  • NSAIDs
  • Adrenergics
  • SNRI
  • Triptans/Ergots
  • ADHD Amphetamines
  • Epogen
  • Tracrolimus/Cyclosporine