HTN- Complicated Management

Question 1

HTN+DM

Target BP for HTN+DM

Answer 1

<130/<80

Question 2

HTN+DM

1st line for DM+ HTN with microalbuminuria or CV risk factors like renal disease

2
*TQ

Answer 2

ACE-I
ARB

note in all slides these lists are all options, not all used together

Question 3

HTN+DM

1st line for DM+HTN without additional risk factors

TQ*

Answer 3

ACE-I
ARBs
dihydropyridine CCBs
thiazide/thiazide-LIKE DIURETICS

TQ*

Question 4

HTN+DM

What to do if target is not met with standard dose monotherapy

Answer 4

add on another med

if using ACE-I combine with CCB

Question 5

HTN+DM

Which med is a potential issue for diabetics?

Answer 5

BBlocker

Question 6

HTN+CKD

BP target

Answer 6

SBP<120

intensive targets

Question 7

HTN_ CKD

In pt with polycystic kidney disease what is target BP

Answer 7

SBP<110

Question 8

HTN_ CKD

1st line treatment for HTN+CKD (non diabetic)

Answer 8

ACE-I

Question 9

HTN_ CKD

What if target is not reached with standard dose monotherapy?

Answer 9

add on another med but do not combine ACE-I + ARB

Question 10

HTN+ post ischemic stroke

target BP

Answer 10

<140/90

Question 11

HTN+ post ischemic stroke

First line tx

Answer 11

ACE-I and thiazide/thiazide like diuretic COMBINATION

Question 12

HTN+ post ischemic stroke

What med combo to avoid

Answer 12

ACE-I + ARB

Question 13

HTN+CVD

First line tx

Answer 13

ACE-I
ARB

Question 14

HTN+CVD

1st line for pt with stable angina + HTN

Answer 14

BB
CCB

Question 15

HTN+CVD

What drug should not be used?

Answer 15

short acting nifedipine

Question 16

HTN+CVD

When decreasing SBP in patients with CAD why should you be concerned about a DBP 60 or less?

Answer 16

myocardial ischemia might be exacerbated esp with LVH

Question 17

HTN+ recent MI

First line treatment

Answer 17

BB+ACE-I combo

Question 18

HTN+HF

What type of CCB cannot be used in HF

Answer 18

nondyhydropyridine CCBs

Question 19

HTN+HF

first line treatment for systolic dysfunction

Answer 19

ACE-I +BB

same as for MI

Question 20

HTN+HF

When can ACE-I+ARB be used together?

Answer 20

when HTN not controlled in HF

Question 21

HTN+HF

What do you need to watch for if using ACE-I and ARB together

3

Answer 21

hypotension
hyperkalemia
decline renal function

Question 22

HTN+LVH

1st line treatment

Answer 22

ACE-I
ARB
CCB
Thiazide/thiazide like diuretics

Question 23

HTN+LVH

What should not be used in LVH

2

Answer 23

hydralazine
minoxidil

Question 24

Which med should not be used in severe PAD?

Answer 24

BBlocker