HTN 2

Question 0

What drugs are ALWAYS appropriate to put a pt with HF on?

Answer 0

ACE/ARB + BB

Question 1

What BB can you give to a pt with HF?

Answer 1

Metoprolol succinate (Toprol XL)
Carvedilol
Bisoprolol

*only these

Question 2

What is usually prescribed for pts with HF?

Answer 2

ACEI + BB + diuretic

Question 3

Why are ACEI/ARBs good for HF?

Answer 3

They inhibit cardiac remodeling

Question 5

What are the adverse effects of clonidine?

Answer 5

Hypotension
Drowsiness
Dry mouth

Question 6

What are the adverse effects of labetolol?

Answer 6

Bronchoconstriction
Heart block
Orthostatic hypotension

Question 7

Adverse effects of captopril?

Answer 7

Hypotension

Bilateral renal artery stenosis

Question 8

Adverse effects of furosemide?

Answer 8

Hypokalemia

Question 9

Which of the following were shown to reduce mortality and morbidity in pts with HF? 
A. ACEI/ ARB
B. CCB
C. BB
D. Aldosterone antagonist
E. Diuretic

Answer 9

A,C,D

Question 10

What is preeclampsia?

Answer 10

elevated bp during pregnancy that is associated with proteinuria, edema, or both

Question 11

What is the goal in preeclampsia?

Answer 11

protect mother
prevent progression to eclampsia
prevent pre-term labor

Question 12

If a pt develops eclampsia and delivery is <48 h away, how do you treat her?

Answer 12

IV therapy with labetolol or hydrazine

Question 13

If a pt develops eclampsia and delivery is >48 h away, how do you treat her?

Answer 13

Oral meds (labetolol/hydralazine)

Question 14

What are symptoms of orthostatic hypotension (OH)?

Answer 14

postural unsteadiness
dizziness
syncope

Question 15

What HTN drugs can cause OH in the elderly?

Answer 15

diuretics, ACE/ARB, direct vasodilators