Hypertensives

Question 1

What are the hypertensive drug classes we use?

Answer 1

A - B - C - D

• ACE Inhibitors
• Beta Blockers
• Calcium channel blockers
• Diuretics (Thiazide is a big one)

Question 2

What is the common ending for all beta blockers?

Answer 2

• olol (beta fish and lolipop)

Question 3

What are beta blockers indicated for?

Answer 3

H’s and A’s

• HTN
• Heart failure
• Angina
• Annuerysm

Question 4

What are the side effects of beta blockers?

Answer 4

• Bradycardia
• Hypotension
• • Bronchospasm

Question 5

What is the common ending for Calcium channel blockers?

Answer 5

• diping (cows dipoing their chips) (htn meds)
• Cows have swollen legs
• Cow milk makes me consitpated
• verapamil (cardioselective)
• diltiazem (cardioselective)

Question 6

What is the mechanism of calcium channel blockers?

Answer 6

• slowing contractions down by blocking electrical signals

- vasodilation

Question 7

What are calcium channel blockers good for?

Answer 7

• HTN

* Arrhythmias (remember electrical signals via calcium channels)

Question 8

What are the big side effects of CCB’s?

Answer 8

Cows have fat feet
* peripheral edema
Cow Milk fucks my GI up
* constipation
I'm flushed because I'm constipated
* flushing

Question 9

Contraindications for CCB?

Answer 9

Severe cardiac issues

Question 10

What are the endings for ACE inhibitors?

Answer 10

Ace of Hearts Holding Chain of Pearls around a chick with Big Lips Sucking a Banana
- pril

Question 11

What are ace inhibitors used for?

Answer 11

HTN

Question 12

What are the major side effects of ace inhibitors?

Answer 12

Angiotensin Enzymes are in the lungs
* Dry hacking cough

Ace of Hearts Holding Chain of Pearls around a chick with Big Lips Sucking a Banana

• Angioedema
• Hyperkalemia

Question 13

Where is angiotensin found?

Answer 13

In the lungs

Question 14

Are alpha and beta Sympathetic or Parasympathetic?

Answer 14

Sympathetic

Question 15

What happens when you block beta receptors?

Answer 15

You constrict the vessels in the lungs because you are restricting that sympathetic response (remember lung vessels dilate in fight or flight mode to received more O2)
* Bronchospasm

Remember Parasympathetic response due to blocking beta receptors

• hypotension
• bradycardia

Question 16

What do all loop diuretics end with?

Answer 16

Chicken with loop earrings riding a semi truck

- semide

Question 17

What’s special about loop diuretics

Answer 17

Very Powerful - flushes out everything

* Loops Loose Everything (including K)

Question 18

What do you use loop diuretics for?

Answer 18

• Edema with CHF

* Pulmonary Edema

Question 19

Cautions for loop diuretics?

Answer 19

Loops loose everything

* Hypokalemia

Question 20

What are osmotic diuretics used for?

Answer 20

The Cosmos Are in your Head man -mannitol

Cranial Edema issues
* ICP and Cerebral Edema

Question 21

Drugs for cerebral edema or ICP?

Answer 21

The Cosmos are in your head MAN

* Mannitol

Question 22

What is a caution for potassium sparing diuretics?

Answer 22

Spares the Potassium so….

* Hyperkalemia

Question 23

What is your first line class of medication for HTN?

Answer 23

Thiazide Diuretics

* HTN with HCTZ

Question 24

What’s the drug of choice for first line treatment of HTN?

Answer 24

HCTZ for that HTN