HTN/ Pulmonary Disorders

Question 1

Pharmacological treatment of eclampsia

Answer 1

Labetalol or intermediate-acting or extended-release nifedipine.
Oral hydralazine may be added if needed to achieve and maintain target blood pressure. Methyldopa is also acceptable, but many patients will not achieve blood pressure goals or are bothered by its sedative effect at high doses.

Angiotensin converting enzyme inhibitors, angiotensin II receptor blockers, and direct renin inhibitors are contraindicated at all stages of pregnancy because of the potential for teratogenesis.

Question 2

Treatment of OSA and pHTN

Answer 2

Nasal CPAP, in several studies, has been shown to reduce pulmonary arterial systolic pressure (sPAP) and pulmonary vascular resistance (PVR) in patients with obstructive sleep apnea (OSA) over a period of three to four months

Question 3

According to JNC 8 BP Goals

Answer 3

> = 60 = <150/ 90
< 60 = <140/90

Sprint trial was not applied to CVA or DM patients

Question 4

Blacks with DM and elevated Blood pressure without CKD. Which medications should be initiated first.

Answer 4

Thiazide diuretic or CCB.

With Renal disease add ACEI first.

Question 5

Stages of HTN

Answer 5

Normal <120 mm Hg and <80 mm Hg
Elevated 120-129 mm Hg and < 80 mm Hg
Stage 1: 130-139 mm Hg and 80-89 mm Hg
Stage 2: >=140 mm Hg and >= 90 mm Hg