cardiovascular 3 Flashcards
When should beta blockers be avoided?
In patients with lower airway disease
may use cardio-selective metoprolol in low doses with asthma and COPD
What medication causes gynecomastia
aldosterone antagonist aldactone
HTN urgency vs HTN EMERGENCY
both with BPs >180/120
Emergency presents with evidence of impending or progressive target organ damage TOD for ex: HF, pulmonary edema, retinopathy
Intervention for HTN urgency vs emergency
urgency: restart/or intensify medications
emergency: ER for a slow titration of BP
which lipid level is the only one affected by fasting?
triglycerides
Statins lower LDL levels, what does Omega 3 fatty acid lower?
triglycerides
must use prescription-strength 4gm dose
remember the adverse effect of increased bleeding
when should hepatic enzymes be monitored for statin use?
prior to initiation of treatment NO further monitoring is recommended
a dangerous side effect of statin use?
rhabdomylosis
Advise your patient on a statin to avoid what fruit juice die to its intestinal CYP450-3A4 inhibitor properties?
grapefruit
What LDL level requires a high intensity statin?
> 190
what group of patients need moderate-intensity statin?
DM
What is the LDL goal?
<100