cardiovascular 3 Flashcards

1
Q

When should beta blockers be avoided?

A

In patients with lower airway disease

may use cardio-selective metoprolol in low doses with asthma and COPD

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2
Q

What medication causes gynecomastia

A

aldosterone antagonist aldactone

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3
Q

HTN urgency vs HTN EMERGENCY

A

both with BPs >180/120
Emergency presents with evidence of impending or progressive target organ damage TOD for ex: HF, pulmonary edema, retinopathy

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4
Q

Intervention for HTN urgency vs emergency

A

urgency: restart/or intensify medications
emergency: ER for a slow titration of BP

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5
Q

which lipid level is the only one affected by fasting?

A

triglycerides

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6
Q

Statins lower LDL levels, what does Omega 3 fatty acid lower?

A

triglycerides
must use prescription-strength 4gm dose
remember the adverse effect of increased bleeding

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7
Q

when should hepatic enzymes be monitored for statin use?

A

prior to initiation of treatment NO further monitoring is recommended

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8
Q

a dangerous side effect of statin use?

A

rhabdomylosis

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9
Q

Advise your patient on a statin to avoid what fruit juice die to its intestinal CYP450-3A4 inhibitor properties?

A

grapefruit

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10
Q

What LDL level requires a high intensity statin?

A

> 190

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11
Q

what group of patients need moderate-intensity statin?

A

DM

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12
Q

What is the LDL goal?

A

<100

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