HTN Guidelines

Question 1

First Line Drugs if no CKD

Answer 1

ACEI
ARB
CCB (AA)
Thiazide diuretic (AA)

Question 2

First line tx c CKD

*same for any age/race

Answer 2

BP goal <140/90

ACEI or ARB

Question 3

Lifestyle Changes

Answer 3

Quit smoking
BG and lipid control
DASH diet
Na <2409 mg/day
Activity 3-4 d/w 40min

Question 4

Indication to use specific antihypertensives

Answer 4

HF - ACEI/ARB with BB, diuretic, spironolactone

Post MI/ CAD - ACE/ARB and BB

CAD - ACE, BB, CCB, diuretic

DM - ACEI/ ARB, CCB, diuretic

CKD - ACEI/ARB

Recurrent stroke prevention- ACEI, diuretic

Pregnancy- labetolol, nifedipine, methyldopa

Question 5

Beta 1 Selective BBs

• safer c these diseases
• four types

Answer 5

COPD, asthma, diabetes and PVD

metoprolol, bisoprolol, betaxolol, acebutolol