Hypertension Flashcards
Mention drug induced hypertension
Contraceptive pills NSAIDs OTC cold medicine Glucocorticoid Liquoriceعرق السوس
Monotherapy in hypertension is in
Grade1low risk patient
Very old patient
Indications of B blocker in hypertension
Heart failure, angina,post myocardial infarction, atrial fibrillation,واحدةعايزةتحمل اوحامل
Diuretics that used in hypertension with chronic kidney disease
Loop,metolazone,indapamide
Mention diuretic that used in hypertension with refractory oedema
Loop
Why we should avoid combination of B blocker and Non DHP CCBs
For fear of marked
Reduction in heart rate
AVN conduction
Mention drugs that used in hypertension with pregnancy
Methyldopa
Labetalol
CCBS
Mention drugs that used in eclampsia
IV labetalol
Or nicardipine
Magnesium sulfate
Mention drugs that not recommended in pregnancy
ACEI,ARBs,aliskiren
Why ACEI avoided in hypertension with COPD
Dry cough
Thiazides are preferred in……
Elderly,obese,black
Osteoporosis,recurrent renal stones
When does metabolic side effects of thiazides occur
In high dose
Absolute contraindicative of thiazides
Sulfonamide hypersensitivity
Mention side effects of thiazides
Sulfonamide hypersensitivity
Impotence
Sleep disturbances
Mention characters of
Chlorthalidone
Hydrochlorothiazide
Metolazone
Longer acting,of choice
Not associated with metabolic side effect
In renal impairment
Thiazides preferred in…….
_While loop in…………
Mild to moderate hypertension
_edema dt heart failure, renal disease.
_resistent hypertension.
B blocker with intrinsic sympathomimetic activity cause……
+HR,so it’s CI in hypertension
Mention side effects of B blocker
+risk of new onset diabetes
Not protective against cerebrovascular events
ACEI shouldn’t be combined with…….,……….
ARB,Aliskiren(selective renin inhibitors)
Clonidine used in
Hypertensive emergency
Doxazosin(a1 blocker)mainly used in
Essential hypertension with benign prostatic hypertrophy
Used of hydralazine in hypertension
2nd choice in eclampsia
2drugs used in hypertensive emergency
Clonidine
Nitroprusside
Drugs used in hypertensive emergency
Nitroprusside
Labetalol
Nicardipine
Fenoldopam
Drug used in hypertensive emergency with acute coronary syndrome
Nitroprusside
Drug used in hypertensive emergency with aortic dissection
Esmolol
Fenoldopam avoided in…….
Glaucoma
Labetalol avoided in………
Heart failure
ACEI,ARB are CI in
Pregnancy
Hyperkalemia
Bilateral renal artery stenosis
Thiazides are CI in…….
Gout
B blocker CI in
COPD, asthma
AVN block
Bradycardia
Nitrate donor that induce cyanide toxicity
Nitroprusside
Treat hypertension during labour
Labetalol
Treat isolated systolic hypertension
Thiazides
Worsen angina
Pindolol(B blocker with intrinsic sympathomimetic activity)
Has no effect on afterload
Ivapradine
