Day 5 - CV3 Quiz Flashcards
HTN, depression, kidney stones
Hyperparathyroidism (cause of secondary HTN)
Complications from vasopressors
(1) ischemic/necrosis of toes (2) mesenteric ischemic (3) renal failure
Intervention most effective in reducing bp
Weight loss (even better than smoking)
Preferred antihypertensive in pt w/ no comorbities
Thiazides (chlorthalidone, HCTZ)
Antihypertensives of choice in following situations: (1) No comorbidities (2) DM (3) Heart Failure (4) BPH (5) LVH (6) Hyperthyroidism (7) Osteoporosis (8) Essential tremor (9) Post-menopausal women (10) Migraine
(1) Thiazides (2) ACE inhibitors (3) ACE inhibitors/ARBs, Beta blockers, Aldosterone antagonists (4) Alpha blocker (5) ACEi/ARB (6) Non-selective beta blocker (e.g., propanolol) (7) Thiazide (8) Beta blocker (9) Thiazide (10) Beta blocker
Secondary HTN Ddx: (1) HTN in arms, low bp in lower extremities (2) Proteinuria (3) Hypokalemia (4) Tachycardia, diarrhea, heat intolerance (5) Hyperkalemia (6) Episodic sweating, tachycardia
(1) Aortic coarctation (2) CKD (3) Hyperaldosteronism (4) Hyperthyroidism (5) Renal failure, renal artery stenosis (6) Pheochromocytoma
Side effects of antihypertensives: first-dose orthostatic hypotension
Alpha blockers (-zosin)
Side effects of antihypertensives: dry mouth, sedation, severe rebound HTN
Clonidine (q 8 h drug)
Side effects of antihypertensives: hypertrichosis
Minoxidil
Side effects of antihypertensives: bradycardia, impotence, asthma exacerbation
Beta blockers
Side effects of antihypertensives: reflexive tachycardia
Vasodilators
Side effects of antihypertensives: cough
ACEi
Side effects of antihypertensives: avoid in pts w/ sulfa allergy
Thiazides, Loop diuretics
Side effects of antihypertensives: angioedema,
ACEi
Side effects of antihypertensives: drug-induced lupus
Hydralazine (anti-Histone antibodies); Think: both start w/ H