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NAPLEx > Hypertension COPY > Flashcards

Hypertension COPY Flashcards

1
Q

Lisinopril/hydrochlorothiazide

A

Zestoretic
- ACE inhibitor or ARB + Diuretic

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2
Q

Losartan/hydrochlorothiazide

A

Hyzaar
- ACE inhibitor or ARB + Diuretic

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3
Q

Olmesartan/hydrochlorothiazide

A

Benicar HTC
- ACE inhibitor or ARB + Diuretic

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4
Q

Valsartan/hydrochlorothiazide

A

Diovan HCT
- ACE inhibitor or ARB + Diuretic

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5
Q

Benazepril/Hydrochlorothiazide

A

Lotensin HCT
- ACE inhibitor or ARB + Diuretic

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6
Q

Enalapril/Hydrochlorothiazide

A

Vaseretic
- ACE inhibitor or ARB + Diuretic

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7
Q

Telmisartan/Hydrochlorothiazide

A

Micardis HCT
- ACE inhibitor or ARB + Diuretic

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8
Q

Benazepril/Amlodipine

A

Lotrel
- ACE inhibitor or ARB + CCB

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9
Q

Valsartan/Amlodipine

A

Exforge
- ACE inhibitor or ARB + CCB

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10
Q

Atenolol/Chlorthalidone

A

Tenoretic
- Beta-blocker + diuretic

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11
Q

Bisoprolol/Hydrochlorothiazide

A

Ziac
- Beta-blocker + diuretic

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12
Q

Metoprolol Tartrate/Hydrochlorothiazide

A

Lopressor HCT
- Beta-blocker + diuretic

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13
Q

Metoprolol Succinate/ Hydrochlorothiazide

A

Dutoprol
- Beta-blocker + diuretic

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14
Q

Triamterene/ hydrochlorothiazide

A

Maxzide, Maxzide-25, Dyazide
- K-sparing + thiazide-type diuretic

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15
Q

spironolactone/ hydrochlorothiazide

A

Aldactazide
- K-sparing + thiazide-type diuretic

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16
Q

Olmesartan/Amlodipine/ Hydrochlorothiazide

A

Tribenzor
- Triple Combo BP

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17
Q

Valsartan/Amlodipine/ Hydrochlorothiazide

A

Exforge HCT
- triple combo BP

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18
Q

Chlorthalidone

A

generic
may be preferred over hydrochlorothiazide due to longer duration, but if patient is doing well on hydrochlorothiazide no need switching)
- thiazide-type diuretic

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19
Q

Hydrochlorothiazide

A

Microzide
- thiazide-type diuretic

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20
Q

Chlorothiazide

A

Diuril, Sodium Diuril
tablet, oral suspension, inject
- thiazide-type diuretic

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21
Q

Indapamide

A
  • tablet, like all thiazide diuretics - increase electrolltes, Ca, UA, LDL, TG and BG, decrease K, Mg, Na
  • thiazide-type diuretic
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22
Q

metolazone

A

tablet, thiazides are not effective when CrCL <30 ml/min except metalazone, which may work with reduced renal function or diuretic resistance
- thiazide-type diuretic

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23
Q

Amlodipine

A
  • Norvasc, Katerzi
  • tablet, suspension
  • safest if a CCB must be used to lower BP in heart failure with reduce ejection fraction
  • dihydropyridine CCBs
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24
Q

Nicardipine IV

A
  • Cardene IV
  • Nicardipine IR capsule and injection
  • dihydropyridine CCBs
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25
Q

Nifedipine ER
Nifedipine IR

A
  • Adalat CC, Procardia XL
  • Procardia (nifedipine ir), do not use for chronic hypertension or acute BP reduction in non-prego adults (profound hypo, MI, death has occurred)
  • Nifedipine ER is drug of choice in prego
  • dihydropyridine CCBs
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26
Q

Felodipine ER

A

generic
DHP CCBS are used to prevent peripheral vasoconstriction in Raynaud’s (cold, blue fingers)
- dihydropyridine CCBs

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27
Q

Isradipine

A

generic
SE- can casue peripheral edema/headache/flushing/palpitatiosn, reflex tachy, gingival hyperplasia (more gingival hyperplasia with non-DHP)
- dihydropyridine CCBs

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28
Q

Nisoldipine ER

A

Sular
for DHP CCBS monitor peripheral edema

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29
Q

Clevidipine

A

Clevixprex- injection
lipid emulsion 2kcal/ml
- dihydropyridine CCBs

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30
Q

Diltiazem

A

Cardizem, Tiazac,
- non-dihydropyridine CCBs

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31
Q

Verapamil

A

Calan SR, Verelan, Verelan PM

Non-DHP CCBs not sued in systolic HF, worsen symptoms
- non-dihydropyridine CCBs

32
Q

Benazepril

A

Lotoensin
-ACE inhibitor

33
Q

Enalapril

A

Vasotec, Epaned powder for oral solution
-ACE inhibitor

34
Q

Enalaprilat

A

Vasotec IV
-ACE inhibitor

35
Q

Lisinopril

A

Prinivil, Zestril, Qbrelis oral solution
-ACE inhibitor

36
Q

Quinapril

A

Accupril
-ACE inhibitor

37
Q

Ramipril

A

Altace
-ACE inhibitor

38
Q

Irbesartan

A

Avapo
- ARBs

39
Q

Losartan

A

Cozaar
- ARBs

40
Q

Olmesartan

A

Benicar
- SE: sprue-like enteropathy (diarrhea type)
- ARBs

41
Q

Valsartan

A

Diovan
- ARBs

42
Q

Azilsartan

A

Edarbi
- ARBs

43
Q

Candesartan

A

Atacand
- ARBs

44
Q

Telmisartan

A

Micardis
- ARBs

45
Q

Eprosartan

A

generic?
for all arbs, same SE but less cough, less angioedema, NO WASHOUT PERIOD REQUIRED with sacutitril/valsatan!
- ARBs

46
Q

Alskiren

A

Tekurna
DO NOT use w/ ACE inhibitor or ARBS
- direct renin inhibitor

47
Q

Spironolactone

A

Aldactone, CaroSpir oral suspension
- potassium-sparing diuretics

48
Q

Triamterene

A

Dyrenium
- potassium-sparing diuretics

49
Q

Triamterene + HCTZ

A

dyazide, maxzide
- potassium-sparing diuretics + thiazide diuretic

50
Q

Amiloride

A

amiloride and triamterene: hyperkalemia (K > 5.5 mEq/L)
- potassium-sparing diuretics

51
Q

Eplerenone

A

Inspra
increases TG
- potassium-sparing diuretics

52
Q

Atenolol

A

tenormin
- beta-blocker (Beta-1 selective)

53
Q

Esmolol

A

Brevibloc - injection
contra, pulmonaryt hypertension use of IV non-DHP CCB
- beta-blocker (Beta-1 selective)

54
Q

metoprolol tartrate

A

Lopressor, tab and injection
IV to PO- 1:2.5
- beta-blocker (Beta-1 selective)

55
Q

metoprolol succinate ER

A

toprol XL, kapspargo sprinkle

lopressor and toprol XL should be taken with or immediately flowwing food
- beta-blocker (Beta-1 selective)

56
Q

Acebutolol

A

generic
- has ISA so not to use post-MI, or ischemic HR disease
- beta-blocker (Beta-1 selective)

57
Q

Betaxolol

A

Betopic S- ophthalmic solution
- beta-blocker (Beta-1 selective)

58
Q

Bisoprolol

A

generic
- beta-blocker (Beta-1 selective)

59
Q
  • beta-blocker (Beta-1 selective)
    AMEBBA
A

Atenolol
metoprololo
esmolol
bisoprolol
betaxolol
acebutolol

60
Q

Nebivolol

A

bystolic
contra: severe liver impairment
increase TG
- beta-1 selective with nitric oxide-dependent vasodilation

61
Q

propranolol

A

inderl LA, inderal XL, InnoPrann XL, Hemangeol
- beta-1 and beta-2 (non-selective)

62
Q

Nadolol

A

Corgard
- beta-1 and beta-2 (non-selective)

63
Q

Pindolol

A

generic
- has ISA
- beta-1 and beta-2 (non-selective)

64
Q

timolol

A

timoptic ophthalmic solution
- beta-1 and beta-2 (non-selective)

65
Q

carvedilol

A

coreg, coreg CR
- take with food

carvedilol IR 3.125mg BID for heart failure equivalent to Coreg CR 10mg), so 6.25 BID is 20mg…
Coreg CR doses are 10mg, 20mg, 40mg or 80mg

  • non-selective beta-blocker and alpha-1 blocker
66
Q

labetalol

A

drug of choice in prego
- non-selective beta-blocker and alpha-1 blocker

67
Q

clonidine

A

Catapres, Catapress-TTS patch, duraclon inj

Kapvay for ADHD (tablet, patch, injection)

-centrally acting alpha 2 agonist

68
Q

Guanfacine

A

IR- tenex
ER- intuniv for ADHD
-centrally acting alpha 2 agonist

69
Q

Methyldopa

A

generic, used during pergo, but not as good as other options
-centrally acting alpha 2 agonist

70
Q

Hydralazine

A

contra: mitral valvular rheumatic disease, CAD
DILE- classic finding is butterfly rash on the face
- direct vasodilators

71
Q

Monoxidil

A

Rogain- otc hair growth
-direct vasodilators

72
Q

Key IV hypertension meds

A
  • Chlorothiazide
  • Clevidipine, Nicardipine
  • Diltiazem/Verapamil
  • Enalaprilat
  • Esmolol, Labetalol, Metoprolol Tartrate, Propranolol
  • Hydralazine
  • Nitroglycerin, Nitroprusside
73
Q

class of meds to start patient on for high blood pressure

A

ACE inhibitors, ARBs, CCBs, and thiazide-type diuretics should be used initially

74
Q

HF Beta-blockers

A

bisoprolol, carvedilol, metoprolol succinate

NAPLEx (75 decks)

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