hypertension pearls

Question 1

Initial testing in a pt w HTN/

in 4 OS

Answer 1

endo: fa^stin_{g gl}uc^ose;T_SH;
cardio: E_CG;

GI: f_astin_{g li}pi^{d p}anel

renal:

^elec_troly_tes;

B_UN; ^cre_atinin_e;

_calci^um;

_urin_{<strong>e</strong> a}lb_umi^n–crea_tinin^{e ra}tio;

Question 2

A normal K+ level rules out

hyperaldosteronism?

Answer 2

No!!

Question 3

hypertensive emergency/

def

Answer 3

defined by the ^prese^nce of T_OD;

NOT by the degree of _BP el^evat_ion.

Question 4

Pt w/out acute TOD + HTN/

need to rush decr of BP?

Answer 4

No!!

Question 5

pt w Pheochromocytoma/

give which meds in which order

Answer 5

a_lpha blocker.

Then be^ta-blocker

Question 6

beta blocker/

usual fxn?

Answer 6

in the binding to the receptor of epi_nephri_ne and other st^ress hormones; and weaken the effects of stress hormones./

slo_{w do}w_n th^{e H}R

Question 7

beta-2-/

usual fxn?

Answer 7

_mediate_{d vas}odi^lation