Hipertensao arterial sistemica Flashcards

1
Q

3 vias de diagnostico HAS

A

===140-180 = alto risco = CONFIRMADA
===140-180 = não alto risco = 2 medidas/consultas em pelo menos 2 consultas
===acima de 180 = confirmada

alto risco

  • LOA
  • DM
  • Sind Met
  • DRC
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2
Q

MAPA vigilia hipertensao

A

135x85

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3
Q

MAPA 24h hipertensao

A

130x80

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4
Q

class estagio Hipertensao

A

12-14 = pre
14-16 = est1
16-18 = est2
>18 =est3

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5
Q

meta

  • Alto risco
  • est 3
A

alto risco = 13 x 8

est 3 = 14 x 9

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6
Q

hipertensao arterial resistente

A

pa descontrolada com 3 anti-hipertensivo

so controla com 4

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7
Q

causa de has resistente

A
ma aderencia
medicamentosa
- aine corticoide
- aco
- anti depressivo
- alcool 
- apneia do sono
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8
Q

considerações sobre bblock

A

nao deve ser usado de 1 linha

nao deve ser usado como monoterapia

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9
Q

drogas de primeira linha

A

ieca

hctz

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10
Q

has 1 + não alto risco

A

monoterapia

  • ieca / bra
  • hctza
  • bcc
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11
Q

altp risco HAS

A

alto risco

  • LOA
  • DM
  • Sind Met
  • DRC
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12
Q

has 1 alto risco
has 2
has 3

A

combinação

  • ieca / bra
  • hctza
  • bcc
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13
Q

hipertenso com proteinúria anti-hipertensivo indicado

A

ieca / bra

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14
Q

def de hipotensao ortostatica

A

queda sistolica maior que 20

queda da diastolica maior que 10

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15
Q

efeito colateral dos TIAZIDICOS

A
  • RESISTENCIA insulinica
  • aumenta colesterol
  • hipocalemia
  • hiponatremia
  • caimpras
  • aumentto do acido urico
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16
Q

gota nao pode usar qual anti hipertensivo

A

tiazidicos pois aumenta ac urico

17
Q

efeito colateral bcc

A

edema maleolar

rubor facial

18
Q

ieca efeito colateral

A

tosse
aumento do KKKKKKKKKKKKKKKKKK
aumento de ureia e creatinina

contraindicado na gravidez

19
Q

espirolactona e.a

A

ginecomastia

aumento do kkkkkkkkkkkkkkkk

20
Q

bblock nao seletivo e.a

A

caverdilol e propranolol

broncoespasmo
bradicardia
aumento de glicemia
dislipidemia