Cardio- HTN Flashcards
HTN
Blood Pressure Goals
<130/80
Side Effects
Thiazide Diuretics SE
- ↓ Na, Cl, K, Mg
- ↑Ca, Uric Acid, Lipid, Glucose
- Sexual Dysfunction
- Rash
- Photosensitivity
CI of Thiazides
(3)
- Sulfa allergy
- CrCl < 30
- Gout
Hydrochlorothiazide
Chlorothiazide (Diuril)
Chlorthalidone
Metolazone (Zaroxyln)
Thiazide Diuretics
Side Effects
Loop Diuretic SE
- ↓Na, Cl, K, Mg, Ca
- ↑ Uric Acid, Lipid, GLucose
- Ototoxicity
CI of Loop Diuretics
Exception?
- Sulfa allergy
Exception Ethacrynic Acid
otherwise good in renal function
- Furosemide (Lasix)
- Budesonide (Bumex)
- Torsemide (Demadex)
- Ethycrynic Acid (Edecrin)
Loop Diuretics
IV to PO Conversion
- Furosemide (Lasix)
- Budesonide (Bumex)
- Torsemide (Demadex)
- Ethycrynic Acid (Edecrin)
IV:PO
- Furosemide (Lasix) - 20:40
- Budesonide (Bumex) - 1:1
- Torsemide (Demadex) - 20:20
- Ethycrynic Acid (Edecrin) -50:50
Side Effects
Potassium Sparing Diuretic SE
- HyperKalemia
- Hyponatremia
CI of Potassium Sparing Diuretics
CrCl < 30
Aldostrone antagonist/ K Sparing Diuretics used in HF
- Spironolactone (Aldactone)
- Empleronone (Inspra)
lower dosed in HF (MDD 50 mg)
Side Effects
Beta Blocker SE
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
IV BB (6)
MAPLES
* Metoprolol
* Atenolol
* Propranolol
* Labetolol
* Esmolol
* Sotalol
Beta-1 selective (7)
1 Heart= MAN-BABE
* Metoprolol
* Atenolol
* Nebivolol
* Bisprolol
* Acebutolol
* Betaxolol
* Esmolol
BB used in HF (3)
- Metoprolol Succinate (Toprol XL)
- Bisoprolol (Zebeta)
- Carvedilol (Coreg)
Lower dose in HF
CI of Beta Blockers
- Asthma/COPD
- Reynauds
Side Effects
Calcium Channel Blocker SE
- Hypotension
- Constipation
- Edema
- Gingival Hyperplasia
Diltiazem (Cardizem, Tiazac, Dilt)
Verapamil (Calan, Isoptin, Verelan)
Non- DHP CCBs
Which CCB is a emulsion and is CI in patietns with soy/egg allergy?
Clevidipine (Cleviprex)
IV CCBs
- Nicardipine
- Clevidipine
CI of Non-DHP CCB
- HF
Treatment for Reynauds
CCB
HTN medication class that are both CYP3A4 Inhibitors and Substrates
CCB
Side Effects
ACI inhibitor SE/CI
CAPTOPRIL
* Cough
* Angioedema
* ↑ Potassium
* Taste change
* Othostatic hypotension
* 🚫 in pregnancy
* Renal artery stenosis
* Leukocytosis -Captopril
IV ACE Inhibitor
Enalapril (Vasotec)
Drug Class ending in -sartan
ARBs
- Prazosin (Minipress)
- Doxazosin (Cardura)
- Terazosin (Hytrin)
- Alfuzosin (Uroxatral)
- Silodosin (Rapaflo)
Alpha blocker
Alpha blockers that does not require titration
Silodosin
Alfuzosin
Side Effect
Alpha Blocker SE (3)
- Hypotension
- Intraoperative floppy iris syndrome
- Retrograde ejaculation
Kapvay
Catapres
Clonidine
- Clonidine (Catapres, Kapvay)
- Guanfacine (Intunic, Tenex)
- Methyldopa
Alpha Agonist
Side Effects
Alpha Agonist SE
- Dry mouth, constipation
- Sexual dysfunction
- Orthostais
- Depression
- Bradycardia
What HTN meds are available in pregnancy
- Nifedipine XL
- Labetalol
- Methydopa
- Hydralazine
Combinations
Lotrel
amplodipine + benazepril
Combinations
Tarka
verapamil + trandolapril
Combinations
Exforge
amlodipine + valsartan
Combinations
Twynsta
amlodipine + talmisartan
Combinations
Azor
amlodipine + omesartan
Combinations
Ziac
bisoprolol + HCTZ
Combinations
Consensi
amlodipine + celecoxib
Combinations
Hyzaar
losartan + HCTZ
Combinations
Aldactozide
spironolactone + HCTZ
Medications that increase BP
- Estrogen
- Steroids
- NSAIDs
- Adrenergics
- SNRI
- Triptans/Ergots
- ADHD Amphetamines
- Epogen
- Tracrolimus/Cyclosporine