Cardio pharm

Question 1

what is considered elevated BP

Answer 1

systolic 120-129 AND diastolic <80

Question 2

what is normal BP

Answer 2

<120/80

Question 3

what are the two stages of Hypertension

Answer 3

Stage 1: S-130-139 or D: 80-89
Stage 2: S >140 or D >90

Question 4

What are the ACC/AHA goals

Answer 4

decrease systolic pressure <130

Question 5

Tx for Normal BP

Answer 5

lifestile and reassess in 1 yr for Class IIa

Question 6

Tx for Elevated BP

Answer 6

120-129 and <80
1. non pharm recommendation
2. reassess in 3-6 months for Class I

Question 7

Reasses for Class I

Answer 7

3-6 months

Question 8

reassess time if you give a non-pharm therapy and a BP-lowering medication

Answer 8

1 month

Question 9

First tier HTN medications

Answer 9

ACEI/ARB
Non-DHP CCB
Thiazide-like diuretics

Question 10

What does Aldosterone do in the urine

Answer 10

Na reabsorption and K excretion as well as H2O retention

Question 11

ACEI mechanism

Answer 11

inhibit conversion of ANg I to II
blocks ACE
and decrease afterload

Question 12

endings of ACEI and the most common drug here

Answer 12

“pril”
Lasonopril

Question 13

endings for ARBs and the main drug here

Answer 13

“sartan”
Losartan

Question 14

ACEI/ARBS main adverse drug effects

Answer 14

Dry COUGH and Angioedema (most comon on first week, AfroAmerican ppl at riskk here)
Hypotention (1st dose)
HYPERKALEMIA

Question 15

Contraindication of ACEI/ARBS

Answer 15

Pregnancy X
renal artery stenosis