Hypertension Flashcards
What is stage 1 hypertension
140/90 - 160/100
What is stage 2 hypertension
160/100-180/120
What is stage 3 hypertension
More than 180
More than 120
Hypertension diagnosis
Hypertension NICE guidelines
Overview
Hypertension in pregnancy
1st line - labetolol
(100mg BD) - usual dose is 200mg daily in 2 divided doses. Take with food
2nd line - nifedipine
3rd line - methyldopa
What is used for hypertension when breastfeeding |
Enalapril maleate
(monitor renal function and potassium)
What is the target in pregnancy
140/90
What is the target in renal disease (CKD)
140/90
What is the target in Renal disease and diabetes together
130/80
Type 1 diabetes target
135/85
Same day specialist referral
180/120
Age less than 80
140/90
Age 80 or more
150/90
What betareceptors are found in the heart
B1
What Beta receptors are found in the lungs
B2
Which ones have less coldness and less bradycardia
ICE PACO
Pindolol
Acebutalol
Celiprolol
Oxprenolol
Water soluble beta blockers
CANS
Celiprolol
Atenolol
Nadolol
Sotalol
Cardioselectove beta blockers (less effect on B2, less respiratory problems
B A MAN
Bisoprolol
Atenolol
Metropolol
Nebivolol
Long duration of action
BACN
Bisoprolol
Atenolol
Celiprolol
Nadolol
Give ONCE daily
Rest are short duration of action
Name some SE of betablockers
Fatigue
Coldness
Sleep disturbances
Bradycardia
Hypo/hyperkalaemia
Masks symptoms of hypo
Look out for asthmatic patients
What respiratory issue do beta blockers cause
Bronchospasm - keep an eye out for asthmatic patients, those with COPD etc
What can beta blockers do to heart rate
Bradycardia - my be countered with atropine sulphate