Ch. 49 Hypertension Flashcards

1
Q

Drugs that can cause high BP

A

amphetamines, cocaine, decongestants, ESAs, immunosuppressants, NSAIDs, systemic steroids, alcohol, appetite suppressants, caffeine, SNRIs, oral contraceptives, oncology drugs mirabegron (beta-3 agonist)

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2
Q

BP goal for 18-59 y/o (no DM or CKD)

A

<140/90

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3
Q

BP goal for CKD and/or DM (all ages)

A

<140/90

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4
Q

BP < 150/90 mmg: age > 60 (no DM or CKD)

A

<150/90

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5
Q

drug selection for non-black pt?

A

thiazide, CCB, ACE, ARB

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6
Q

drug selection for black pt ?

A

thiazide, CCB

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7
Q

CKD+- albuminuria +- DM?

A

ACE or ARB

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8
Q

What to do if BP is > 160/100?

A

consider to start 2 drugs

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9
Q

When should a pregnant women be treated?

A

> 160/105

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10
Q

Agents to use in a pregnant women?

A

labetalol, nifedipine, methyldopa

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11
Q

MOA of thiazide diuretics

A

inhibit NA and water reabsorption in distal convoluted tubules – excrete Na, h20, K, H

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12
Q

thiazide diuretics can increase which electrolytes?

A

Ca, HCO3, LDL, TG, BG, Uric acid

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13
Q

Diuril

A

chlorothiazide

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14
Q

Microzide

A

hydrochlorothiazide

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15
Q

MOA of DHP CCB

A

work on peripheral vascular smooth muscle decrease SVT and BP —> reflex tachycardia, HA, flushing and peripheral edema

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16
Q

MOA of non-DHP CCB

A

work on cardiac smooth muscle , decrease HR and contractility, and BP

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17
Q

example of non-DHP CCB

A

verapamil and diltiazem

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18
Q

Norvasc

A

amplodipine

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19
Q

Adalat CC, Procardia XL

A

nifedipine ER

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20
Q

Sular

A

nisoldipine ER

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21
Q

Cardene IV

A

nicardipine IV

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22
Q

Cleviprex

A

clevidipine

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23
Q

Cardizem, Cartia, Diltazac, Tiazac

A

diltiazem

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24
Q

Calan, Covera HS, Verelan

A

verapamil

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25
Lotensin
benazepril
26
Vasotec, Epaned powder
enalapril
27
Prinivil, zestril, Qbrelis
lisinopril
28
Aceon
perindopril
29
Accupril
quinapril
30
Altace
ramipril
31
Mavik
trandolapril
32
Edarbi
azilsartan
33
atacand
candasartan
34
teveten
eprosartan
35
Avapro
irbesartan
36
Cozaar
losartan
37
Benicar
Olmesartan
38
Micardia
telmisartan
39
Diovan
valsartan
40
Inspra
eplerenone
41
Aldactone
spironolactone
42
Carospir
spironolactone suspension
43
Maxzide, dyazide
triamterene and HCTZ
44
Which beta-blockers are not used in MI patients
acebutolol, penbutolol, pendolol, Carteolol b/c ISA
45
Scetral
acebutolol
46
tenormin
atenolol
47
zebeta
bisoprolol
48
brevibloc
esmolol
49
lopressor
metoprolol tartrate
50
Toprol XL
metoprolol succinate
51
Bystolic
nebivolol
52
corgard
nadolol
53
inderal LA, innopran XL
propranolol
54
Coreg
carvedilol
55
Tekturna
aliskiren
56
Catapres
clonidine
57
Tenex
guanfacine IR
58
MOA of doxazosin, prazosin, terazosin
alpha 1 blockers
59
cardura
doxazoin
60
minipress
prazosin
61
drugs used for hypertensive emergency?
esmolo, labetalol, hydralazine, nicardipine, nitroglycerin, nitroprusside