HTN

Question 1

JNC 8 less than 140/90
AHA less 130/80

Answer 1

initiate in over 60, and if BP more 150/90,
1) always start lifestyle management for 6m.
2) start meds and ask if they are taking it as prescribed

Question 2

what enzyme is good for the heart?

Answer 2

coenz 10

Question 3

what labs for HTN pts?

Answer 3

GFR, BUN, creatinine

Question 4

If they have angioedema on ACE what do you switch to?

Answer 4

ARB–> losartan

Question 5

Who do you avoid Thiazides in?

Answer 5

the med: increases triglycerides, uric acid, and glucose.

They are great for pt with osteoporosis b/c they stimulate osteoblast and retain calcium.
* used for Africans Americans

HCTZ *hyperglycemia, crystals, triglycerides.

Question 6

Who do we avoid prescribing CCB TO?

Answer 6

GERD b.c it lowers the esophagus sphincter contraction= acid can come up.

Question 7

After Mi which BP do we put them on?

Answer 7

beta blocker

Question 8

s/s of CCB?

Answer 8

HA, ankle edema,

Question 9

Cluster HA prevention use?

Answer 9

verapermil

Question 10

What medication do we use on pregnant women?

Answer 10

New Little Mama
Nifedipine, labatoalol, methdopa

Question 11

using ASCVD when do you initiate HTN meds and hyper lipid meds?

Answer 11

HyperTENsion

ASCVD more 10 percent risk

Question 12

Why are older adults are more prone to htn?

Answer 12

arteries stiffen, less elastic

Question 13

Best med for isolated systolic HTN?

Answer 13

CCB or thiazide

Question 14

HR rises in inspiration and decrease on expiration?

Answer 14

Resp sinus arrythmia, athletic young adults it is benign.

Question 15

What is pulsus paradoxus? When does it happen?

Answer 15

10 point drop in systolic BP upon inspiration
-Cardiac tamponade, and status asthmatic.