Chapter 23 Flashcards

1
Q

What is the range for typical high BP

A

130-139/85-89

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2
Q

What are the 3 types of hypertension

A

Essential
Secondary
Malignant

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3
Q

What is essential hypertension

A

No none cause, high BP

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4
Q

What is secondary hypertension

A

High BP caused by other complications in the body ex. Renal artery disease

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5
Q

What is malignant hypertension

A

BP above 180/120. Medical emergency

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6
Q

What does the parasympathetic nervous system do to blood vessels

A

Relax them

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7
Q

What does the sympathetic nervous system do to blood vessels

A

Contracts them

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8
Q

Antihypertensive drug categories

A

Adrenergic
ACE
ARB
Calcium channel blocker
Diuretics
Vasodilators
Direct renin inhibitors

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9
Q

What does clonidine do

A

Decrease norepinephrine production lowering BP

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10
Q

What does doxazosin do

A

Block alpha 1 adrenergic receptors, BP lowers, arteries and veins dilate

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11
Q

Which antihypertensive med is also used for enlarged prostate

A

Doxazosin

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12
Q

What do beta blockers do

A

Reduce heart rate, lowering BP

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13
Q

What does Labetalol do

A

Reduce HR, vasodilation

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14
Q

Which anti hypertension adrenergic drug can be used in pregnancy

A

Labetalol

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15
Q

Rebound hypertension when stopping med happens with what type of antihypertensive

A

Adrenergic

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16
Q

First dose syncope happens with which antihypertensive

A

Adrenergic

17
Q

Sexual dysfunction due to decreased blood flow to penis occurs from which antihypertensive

A

Adrenergic

18
Q

What other Adrenergic drug can be used for high BP in pregnancy

19
Q

What do ACE inhibitors do

A

Cause vasodilation

20
Q

Which antihypertensive drug has a cardio protective effect of stopping the thickening of the wall of the left ventricle

A

ACE Inhibitors

21
Q

Which antihypertensive drug reduces glomerular filtration pressure

A

ACE inhibitors

22
Q

Which antihypertensive can cause fetal abnormalities

A

ACE inhibitors

23
Q

What is a common side effect of ACE Inhibitors

24
Q

When someone has a cough from ACE Inhibitors, which med are they switched to

25
What do ARB do
Block vasoconstriction and aldosterone
26
Hyperkalemia is less likely to occur with which drug than with Ace inhibitors
Arb
27
What do calcium channel blockers do
Block calcium from entering cell, calcium needed for contractility, blood vessels cannot contract
28
What do diuretics do
Decrease fluid volume to lower BP
29
What is adverse effect of vasodilators
Cyanide toxicity
30
When would the vasodilator sodium nitroprusside be used
In hypertensive emergencies
31
When the HR falls below _ antihypertensive must be held
60bpm