Kirila HTN Tables Flashcards
After MI - agent and caution
B-blocker, ACEI
Caution - direct vasodilators (may worsen coronary insufficiency)
CHF
ACEI, Diuretic; B-blocker (no pulm edema)
Caution - B-blockers, CCB
Hypertrophic cardiomyopathy (left ventricular hypertrophy)
B-blocker, CCB
Caution - diuretics, ACEI, direct vasodilators
Bradycardia, Heart Block
Caution - B-blockers, CCB
Tachyarrhythmias
B-blockers, verapamil
What drugs are NS b-blockers AND vasodilators?
What drugs are sel b-blockers AND vasodilators?
Carvedalol, labetalol
Betaxolol, Nebivilol
Angina
Beta blockers, CCB, Nitroglycerin (veins!)
Caution - Direct Vasodilators (afterload may decrease coronary perfusion)
COPD/ROAD (airway disease, asthma)
CCB, Thiazide, ARB
Caution - b-blocker
Aortic Dissection
NITROPRUSSIDE, B-blocker
Caution - drugs that increase CO (increase shear stress)
Bilateral Renal Artery Stenosis
Caution - ACEI, ARBs (may worsen renal function)
Chronic Renal Insufficiency
ACEI (when serum Cr is less than 2.5), Loops, CCB
Renal Transplants
Caution - ACEI (may worsen renal function)
Migraine
B-blocker, CCB
Stroke or TIA
ACEI (may allow reestab of CNS autoregulation)
Caution - vasodilators that may increase ICP
Diabetes
ACEI (delays renal failure and decrease proteinuria)
Pregnancy (preeclampsia, eclampsia)
Methyldopa, hydralazine; B-blockers with caution
Caution - ACEI, ARB (may cause renal agenesis), Diuretics
Gout
Caution - diuretics (worsen joint pain or precipitate gout)
Cocaine use
Labetalol (alpha1, B1, blocker), Clonidine (a2agonist)
Caution - selective B-blockers (unopposed cocaine induced alpha-agonism)
GI bleed
NS B-blocker (lowers portal blood pressure)
Caution - b-blockers (may mask signs of acute bleeding)
Pheo
ALPHA BLOCKER»_space; then BETA BLOCKER
Caution - selective beta blocker - unopposed alpha agonism)
BPH
Alpha1 antagonist (Terazosin) Caution - selective beta blocker (unopposed alpha agonism)
Proximal RTA
Type II
Bicarbonate reabsoprtion problem due to acquired: myeloma, renal transplant, ifosfamide, l-lysine
Distal RTA
Type I
Defect in urine acidification due to acquired:
Sjogren’s syndrome
Sarcoidosis, urinary tract obstruction, amphotericin B, lithium
Type 4 RTA
Defect in ammonium secretion caused by: hypERK, low renin and aldosterone
DM, Glomerulosclerosis, Advanced CKD
Systemic causes of Nephrotic Syndrome
DM, SLE, amyloidosis.
DRUGS - gold, penicillamine, captopril, NSAIDs, heroin
INFECTION - bacterial endocarditis, Hep B, shunts, syphilis, malaria
MALIGNANCY - Hodgkin’s, NHL, Leukemia, Ca-breast and GI
primary aldosteronism presentation
low K
HTN
Person has sarcoidosis and is on prednisone. HTN caused by what?
Cushings Syndrome
