HTN Flashcards
(26 cards)
When should you initiate HTN treatment
When BP is over 130/80 and has a ASCVD risk
What are the four common secondary causes of HTN
renal disease, primary aldosteronism, OSA, and drug and alcohol use
When should you screen for secondary HTN
new consent uncontrolled HTN, drug resistant to > 3 drugs, abrupt onset, less than 30 y/o, excessive organ damage, or diastolic HTN in older adults, excessive hypokalemia
What is the sodium restriction for HTN
Less than 1500 mg a day
What is stage 1 HTN
130-139/ 80/89
What is stage 2 HTN
140/90 or greater
What is elevated BP
120-129/80
What is the only direct renin inhibitor
Aliskiren
What do you prescribe for first like stage 1 HTN
thiazide, CCB, ACE inhibitor/ARB
Once daily dosing
What are first like therapy stage 2 HTN prescribed
Two first line drugs from different classes + once daily dosing and combo therapy
What drug can be used to prevent reoccurrence of AFIB
ARBs
Which drugs that have similar mechanisms of action can be combined?
Thiazide + K sparing diuretic + loop diuretics
Dihydropyridine and norhydropyridine CCBs can be combined
What is the BP goal for companies conditions
130/80
What drugs do you avoid for HTN in a patient with metabolic syndrome
Beta blockers
What drugs do you avoid in valvular heart disease for HTN
Beta blockers
What type of co morbidity is beta blockers the 1st like tx
Thoracic aortic disease
What patients shouldn’t take calcium channel blockers
Patients with HF and reduced EF
what patients should avoid ACE and ARB
history of angioedema
What patients should avoid thiazide diuretics
Gout and hyponatremia
What class should you use in patients with BPH and HTN
Alpha
What drugs have a reduced response in African Americans
ACE-I mono therapy
What is the best combo to use in the black population with HTN
CCB/diuretic + ACE
What HTN drugs should not be used in pregnancy
ACE 1, ARB, or direct acting renin inhibitors
What are the four main classes of anti HTN that target kidneys
ACE, direct renin inhibitors, angiotensin 1 receptor antagonists, beta blockers, and diuretics
