HTN Drugs Cont.

Question 1

Hypertension can be primary or secondary. What are some common causes of secondary HTN?

Answer 1

Renal disease, pheochromocytoma, obstructive sleep apnea, alcohol/drug induced, primary aldosteronism

Question 2

What can cause Renovascular HTN?

secondary HTN

Answer 2

Renal A. stenosis (bilateral or unilateral)

Question 3

What 3 signs may suggest bilateral Renovascular HTN over primary HTN?

Answer 3

Flash pulmonary edema
Progressive renal failure
Refractory CHF

Question 4

What 3 signs may suggest bilateral Renovascular HTN over primary HTN?

Answer 4

Flash pulmonary edema
Progressive renal failure
Refractory CHF

Question 5

What Calcium Channel Blockers (2) can be used for Hypertensive emergencies?

Answer 5

Nicardipine

Clevidipine

Question 6

What Vasodilators (3) can be used for Hypertensive emergencies?

Answer 6

Hydralazine
Nitroglycerin
Nitroprusside

Question 7

Giving Hydralazine for a Hypertensive emergency is _____

Answer 7

Unpredictable

Question 8

Giving Nitroprusside for a Hypertensive emergency, what should you monitor and what toxicity is possible?

Answer 8

• Monitor intra-arterial BP

- - cyanide toxicity is possible

Question 9

What beta1 blocker can be given for a Hypertensive emergency?

Answer 9

Esmolol

Question 10

What alpha1 and beta blocker can be given for a Hypertensive emergency?

Answer 10

Labetalol

Question 11

Labetalol is an alpha1 and beta blocker. What is it useful for in situations of hypertensive emergencies?

Answer 11

Hyperadrenergic syndromes

Question 12

What is an alpha and beta blocker given in Hypertensive emergencies?

Answer 12

Phentolamine

Question 13

Phentolamine is an alpha and beta blocker. What is it useful for in situations of hypertensive emergencies?

Answer 13

Excessive catecholamines

Question 14

What is a Dopamine Agonist used in Hypertensive emergencies?

Answer 14

Fenoldopam

Question 15

What is an ACEi used in Hypertensive emergencies?

Answer 15

Enalaprilat

Question 16

Enalaprilat is an ACEi. What is it useful with in situations of hypertensive emergencies?

Answer 16

Useful when there is increased renin activity

Question 17

Goal of Aortic Dissection treatment?

Answer 17

Anti-impulse therapy = BP <120 and HR<60

Question 18

What are the 2 drugs that are the best options for Aortic Dissection treatment?

Answer 18

Esmolol

Labetalol

Question 19

What are the 2 drugs that are the best options for Aortic Dissection treatment?

Answer 19

Esmolol

Labetalol

Question 20

What are 2 alternatives to Esmolol/Labetalol when treating Aortic Dissections?

Answer 20

Verapamil

Diltiazem

Question 21

What are 2 alternatives to Esmolol/Labetalol when treating Aortic Dissections?

Answer 21

Verapamil

Diltiazem

Question 22

If the BP is still > 120 with an Aortic Dissection after Anti-impulse therapy, what should you add and what an example?

Answer 22

Add a vasodilator

- Nitroprusside

Question 23

If the BP is still >120 with an Aortic Dissection after giving Anti-impulse therapy, what should you add and what is an example and its alternative?

Answer 23

Vasodilator = Nitroprusside

– Alternative - Nicardipine