HTN Flashcards
Goal BP
<130/80
Stage 1 HTN
+
Treatment
SBP 130-139
or
DBP 80-89
ASCVD < 10%= lifestyle modifications
ASCVD > 10% = Lifestyle modifications + medication
Stage 2 HTN
+
Treatment
SBP ≥ 140
or DBP ≥90
Lifestyle modifications + 2 medications from differenct classes
Meds that ↑ BP
- Estrogen (COC, SERMs-temoxifen)
- Steroids
- NSAIDs
- SNRIs
- Adrenergics
- AHDH Amphetamines
- Epogen
- Tacrolimus/Cyclosporine
- Licorice, Decongestants
DOC in non black patients
- ACE/ARB
- CCB
- Thiazides
DOC in black patients
w/o CKD
- CCB
- Thiazides
DOC in patients with CKD
ACEi/ARBs
DOC in patients s/p MI/CAD
BB
ACEi/ARBs
DOC in patients with HF
BB + Entresto/ACEi/ARBs+MRA ± loop
DOC in Pregnancy
Lebatotol
Nifedipine XL
DOC in Reynauds
DHP- CCB
DOC in BPH
Alpha blockers (-zosin)
Microzide
Hydrochlorothiazide
Diuril
Chlorothiazide
Zaroxolyn
Metolazone
thiazide-like diuretic
GOOD IN POOR RENAL FUNCTION
Electrolyte Effects/SE of Thiazides
↑Ca, Uric Acid, Glucose
↓ Na, Cl, K, Mg
Photosensitivity
CI of Thiazides
- Gout
- CrCl < 30
- SULFA Allergy