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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

<140/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

<140/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

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

A

<150/90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

drug selection for non-black pt?

A

thiazide, CCB, ACE, ARB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

drug selection for black pt ?

A

thiazide, CCB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CKD+- albuminuria +- DM?

A

ACE or ARB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What to do if BP is > 160/100?

A

consider to start 2 drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should a pregnant women be treated?

A

> 160/105

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Agents to use in a pregnant women?

A

labetalol, nifedipine, methyldopa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MOA of thiazide diuretics

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

thiazide diuretics can increase which electrolytes?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Diuril

A

chlorothiazide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Microzide

A

hydrochlorothiazide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MOA of DHP CCB

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MOA of non-DHP CCB

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

example of non-DHP CCB

A

verapamil and diltiazem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Norvasc

A

amplodipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Adalat CC, Procardia XL

A

nifedipine ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Sular

A

nisoldipine ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cardene IV

A

nicardipine IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cleviprex

A

clevidipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Cardizem, Cartia, Diltazac, Tiazac

A

diltiazem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Calan, Covera HS, Verelan

A

verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Lotensin

A

benazepril

26
Q

Vasotec, Epaned powder

A

enalapril

27
Q

Prinivil, zestril, Qbrelis

A

lisinopril

28
Q

Aceon

A

perindopril

29
Q

Accupril

A

quinapril

30
Q

Altace

A

ramipril

31
Q

Mavik

A

trandolapril

32
Q

Edarbi

A

azilsartan

33
Q

atacand

A

candasartan

34
Q

teveten

A

eprosartan

35
Q

Avapro

A

irbesartan

36
Q

Cozaar

A

losartan

37
Q

Benicar

A

Olmesartan

38
Q

Micardia

A

telmisartan

39
Q

Diovan

A

valsartan

40
Q

Inspra

A

eplerenone

41
Q

Aldactone

A

spironolactone

42
Q

Carospir

A

spironolactone suspension

43
Q

Maxzide, dyazide

A

triamterene and HCTZ

44
Q

Which beta-blockers are not used in MI patients

A

acebutolol, penbutolol, pendolol, Carteolol b/c ISA

45
Q

Scetral

A

acebutolol

46
Q

tenormin

A

atenolol

47
Q

zebeta

A

bisoprolol

48
Q

brevibloc

A

esmolol

49
Q

lopressor

A

metoprolol tartrate

50
Q

Toprol XL

A

metoprolol succinate

51
Q

Bystolic

A

nebivolol

52
Q

corgard

A

nadolol

53
Q

inderal LA, innopran XL

A

propranolol

54
Q

Coreg

A

carvedilol

55
Q

Tekturna

A

aliskiren

56
Q

Catapres

A

clonidine

57
Q

Tenex

A

guanfacine IR

58
Q

MOA of doxazosin, prazosin, terazosin

A

alpha 1 blockers

59
Q

cardura

A

doxazoin

60
Q

minipress

A

prazosin

61
Q

drugs used for hypertensive emergency?

A

esmolo, labetalol, hydralazine, nicardipine, nitroglycerin, nitroprusside