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Cardiac and Heme drugs > Hypertension > Flashcards

Hypertension Flashcards

1
Q

Steps of hypertension treatment

A
  1. lifestyle
  2. drugs
  3. modify drugs
  4. more drugs or diuretic added
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2
Q

Math equations

A

CO= HR x SV
MAP= CO x PVR

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3
Q

ACE inhibitors

A

(-PRIL) catopril, enalapril, ramipril, benazepril

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4
Q

Complications of ACE inhibitors

A

cough, angioedema

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5
Q

Ace inhibitor special stuff

A

watch out for hyperkalemia, NSAIDS decrease effect

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6
Q

ARB drugs(angiotensin II receptor blocker)

A

(-SARTAN) Losartan, irbesartan, olemasartan, valsartan, azilsartan

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7
Q

ARB special stuff

A

watch out for lithium toxicity
opposite aldosterone

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8
Q

Aldosterone agonist drugs

A

(-one) eplerenone, spironolactone

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9
Q

Aldosterone agonist special stuff

A

watch out for
hyperkalemia(salt substitutions)
lithium toxicity
orthostatic hypotension(diuretics)

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10
Q

Direct Renin inhibitor drugs

A

Aliskiren

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11
Q

Direct Renin inhibitor complications

A

angioedema, diarrhea, no pregnancy

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12
Q

Direct Renin inhibitor special stuff

A

Furosemide decreased effects
increased effect HTN meds
Increased effect statin
decrease absorption high fat foods

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13
Q

Calcium channel blockers

A

(-PINE) nifedipine, nicardipine, amlodipine, diltiazem, verapamil

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14
Q

Calcium channel blockers complications

A

V&D: peripheral edema, bradycardia

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15
Q

Calcium channel blockers special stuff

A

NO: beta blockers, grapefruit juice

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16
Q

Alpha adrenergic blocker drugs (sympatholytic)

A

(-ZOSIN) prazosin, doxazosin, terzosin

17
Q

Alpha adrenergic blocker special stuff

A

hypotension with other HTN meds

18
Q

Centrally acting Alpha 2 agonist drugs

A

Clonidine, guafacine, methyldopa

19
Q

Centrally acting Alpha 2 agonist complications

A

drowsiness, sedation, dry mouth, rebound hypertension if stopped abruptly, CNS depression

20
Q

Centrally acting Alpha 2 agonist special stuff

A

no alcohol, no pregnant

21
Q

Cardioselective Beta blocker drugs (sympatholytics)

A

Cardiac only
(MAE)Beta 1: metoprolol, atenolol, esmolol

22
Q

Nonselective Beta blocker drugs (sympatholytics)

A

Cardiac and pulmonary
Beta 1&2: propanolol, nadolol

23
Q

Alpha and Beta blocker drugs (sympatholytics)

A

A & B: carvedilol, labetolol

24
Q

Beta 2 blocker special stuff

A

(LOL)
no diabetes, pregnancy, athsma

25
Q

Diuretics drugs first line

A

Thiazide(first choice): chlorothiazide, hydrochlorothiazide, methyclothiazide, metolazone

26
Q

Diuretics drugs non first choice

A

amiloride, spironolactone, triamterene

27
Q

Hypertensive crisis meds

A

Nitro prusside (first choice), nitroglycerin, nicardipine, clevdipine, enalaprit, esmolol, labetolol

28
Q

Hypertensive crisis meds special stuff

A

no other IV meds at same time

29
Q

Hypotension drugs

A

Midodrine, droxidopa(orthostatic hypotension), vasopressors, adrenergic agonists

Cardiac and Heme drugs (10 decks)

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