CV - HT Flashcards
1
Q
At what K level would you add low dose spironolactone?
A
< 4.5
2
Q
Which antihypertensive is preferred in breastfeeding?
A
Enalapril
3
Q
Pregnancy - HT treatment
A
- Labetalol
- MR nifedipine
- Methyldopa
4
Q
When should you stop methyldopa for HT in pregnancy?
A
- Stop at least 2 days after birth
- Risk of post-natal depression
5
Q
Symptoms of pre-eclampsia
A
- Severe headache
- Pain below ribs
- Vision
- Vomiting
- Sudden swelling of face, hands, feet
6
Q
What do we give for chronic HT in pregnancy
A
- Aspirin 75-150mg OD
- Week 12 to birth
7
Q
ACEi: CI
A
- Bilateral renal artery stenosis/ aortic stenosis
- Pregnancy
- AKI
8
Q
ACEi: SE
A
- COUGH
- Renal/ hep
- Angiodema
- Hyperkalaemia
9
Q
ACEi: interactions
A
- ARBs
- K
- Lithium
- NSAIDs - renal
- Alcohol
10
Q
ARBs: SE
A
- Hyperkalaemia
- Hypotension
- Renal
less cough and angiodema
11
Q
CCB: RL
A
- Highly inotropic effects =
- Reduced myocontractility + HR
- Avoid in HF
12
Q
Which antihypertensive should we avoid in HF?
A
RL CCB
13
Q
CCB: dihydro SE
A
- oedema
- headache
- flushing
- constipation
14
Q
CCB: interactions
A
- Statins: sim + amlo
- Dabigatran + verapamil
- BB + verapamil
- Carbamazepine
- Grapefruit juice
- Macrolides
15
Q
Does diltiazem need to be prescribed by brand?
A
Only for dilt MR tabs with strength over 60mg
