facts for cardio exam 1 Flashcards
name some drugs associated with hypertension
amphetamines, corticosteroids, cocaine, cyclosporine, tacrolimus, decongestants, NSAIDs, antivascular endothelin growth factor agents, nicotine withdrawal, herbal ecstasy, ergot alkaloids, estrogen-containing oral contraceptives, anabolic steroids, abrupt DC of centrally acting alpha agonists, bupropion, narcotic withdrawal, abrupt DC of beta blockers
normal bp
systolic <120, diastolic <80
elevated bp
systolic 120-129, diastolic <80
hypertension stage 1
systolic 130-139, diastolic 80-89
hypertension stage 2
systolic 140+, diastolic 90+
hypertensive crisis
systolic 180+, diastolic 120+
target organ damage in the heart
left ventricular hypertrophy, angina, myocardial infarction, heart failure
target organ damage for the brain
stroke, transient ischemic attack
target organ damage for the kidney
chronic kidney disease
target organ damage for the vasculature
peripheral arterial disease
target organ damage for the eyes
retinopathy
what should you prescribe for stage 1 hypertension w/ clinical ASCVD, diabetes, CKD, or 10 yr ASCVD risk >10
monotherapy w/ ace, arb, ccb, or thiazide
what should you prescribe for stage 2 hypertension
two drug combo: acei or arb with a CCB or thiazide
what is the dose for hctz
12.5-25 mg qd
which drug classes are contraindicated in pregnancy
ace, arb, direct renin inhibitors
which hypertension drugs should you transition to during pregnancy
methyldopa, nifedipine, labetalol
what is the parenteral drug of choice for pregnancy
hydralazine, labetalol can be used
what is the difference between hypertensive urgency and hypertensive emergency
emergency has end organ damage
what are some drugs that can induce dyslipidemia
immunosuppressives, glucocorticoids, anabolic steroids, estrogens and progestins, protease inhibitors, beta blockers, thiazides and loops, isotrentinoin, mirtazapine, antipsychotics, propofol
what is optimal LDL
<100
what is optimal total cholesterol
<200
what is optimal HDL
> 60
what is normal triglycerides
<150
what is the LDL goal for HIGH RISK patients
<70