HTN/Lipid Flashcards
BP Treatment Goals
< 140/90 for all
< 150/90 for older than 60
Pregnancy BP Med of choice
Labetalol
ACEi in pregnancy can cause fetal death
What BP meds increase lithium toxicity?
ACEi or ARBs, decrease lithium clearance
Which ACEi can be IV?
Enalapril (Vasotec)
Tekturna generic
Aliskiren
ACEi SE
cough, hyperkalemia, HA
angioedema (more in black pts)
True or False: All ARBs are oral tabs
True
-sartan’s
Which ARB must stay in original container?
Edarbi (Azilsartan)
Which CYP do CCBs affect?
CYP3A4
DHP more potent like amlodipine, nifedipine
Which CCB appears in stool?
Procardia XL (Nifedipine ER)
Contraindication for IV Diltiazem?
avoid IV beta blockers within a few hours
Verapamil many brand names
Calan SR
Covera ER
Verelan ER
(the IR version is TID)
main SE from Verapamil
constipation, gingival hyperplasia
Types of Diuretics
Loop(more potent. use for HF and edema)-Bumetanide, Furosemide, Torsemide.
Thiazide type use for BP-HCTZ, chlorthalidone, indapamide, metolazone
K+ sparing-Amiloride or Triamterene (avoid w/ ACEi, aliskiren, too much K+)
What class of meds interacts with a sulfa allergy?
Thiazide diuretics
Thiazide/HCTZ SE
take in AM hypokalemia, photosensitive (need sunscreen), hyperuricemia could cause glaucoma? avoid with lithium and steroids avoid NSAIDs
Which thiazide is ok if CrCl < 30 ml/min?
Metolazone (Zaroxolyn)
What BP meds cause gynecomastia?
Aldosterone Antags: Spironolactone, Eplerenone
What BP med is on BEERs criteria?
Eplerenone and Spironolactone due to hyperkalemia