Hypertension

Question 1

What is the first line treatment of hypertension ?

Answer 1

Patient with DM type 2 : Ace-i, ARB

Patient with no DM type 2

• < 55 yrs old : Ace-i, ARB
• > 55 yrs old : CCB

Question 2

What is the treatment for patient with resistant hypertension ?

Answer 2

Measure K

If K < 4.5 add spironolactone

If K > 4.5 add b-blocker

Question 3

What kind of diuretics is the best to treat hypertension in patient with chronic kidney disease ?

Answer 3

Furosemide

Useful when the eGFR is less than 45

Added benefit of lowering potassiuim level

High dose of furosemide needed