Kirila HTN Tables

Question 1

After MI - agent and caution

Answer 1

B-blocker, ACEI

Caution - direct vasodilators (may worsen coronary insufficiency)

Question 2

CHF

Answer 2

ACEI, Diuretic; B-blocker (no pulm edema)

Caution - B-blockers, CCB

Question 3

Hypertrophic cardiomyopathy (left ventricular hypertrophy)

Answer 3

B-blocker, CCB

Caution - diuretics, ACEI, direct vasodilators

Question 4

Bradycardia, Heart Block

Answer 4

Caution - B-blockers, CCB

Question 5

Tachyarrhythmias

Answer 5

B-blockers, verapamil

Question 6

What drugs are NS b-blockers AND vasodilators?

What drugs are sel b-blockers AND vasodilators?

Answer 6

Carvedalol, labetalol

Betaxolol, Nebivilol

Question 7

Angina

Answer 7

Beta blockers, CCB, Nitroglycerin (veins!)

Caution - Direct Vasodilators (afterload may decrease coronary perfusion)

Question 8

COPD/ROAD (airway disease, asthma)

Answer 8

CCB, Thiazide, ARB

Caution - b-blocker

Question 9

Aortic Dissection

Answer 9

NITROPRUSSIDE, B-blocker

Caution - drugs that increase CO (increase shear stress)

Question 10

Bilateral Renal Artery Stenosis

Answer 10

Caution - ACEI, ARBs (may worsen renal function)

Question 11

Chronic Renal Insufficiency

Answer 11

ACEI (when serum Cr is less than 2.5), Loops, CCB

Question 12

Renal Transplants

Answer 12

Caution - ACEI (may worsen renal function)

Question 13

Migraine

Answer 13

B-blocker, CCB

Question 14

Stroke or TIA

Answer 14

ACEI (may allow reestab of CNS autoregulation)

Caution - vasodilators that may increase ICP

Question 15

Diabetes

Answer 15

ACEI (delays renal failure and decrease proteinuria)

Question 16

Pregnancy (preeclampsia, eclampsia)

Answer 16

Methyldopa, hydralazine; B-blockers with caution

Caution - ACEI, ARB (may cause renal agenesis), Diuretics

Question 17

Gout

Answer 17

Caution - diuretics (worsen joint pain or precipitate gout)

Question 18

Cocaine use

Answer 18

Labetalol (alpha1, B1, blocker), Clonidine (a2agonist)

Caution - selective B-blockers (unopposed cocaine induced alpha-agonism)

Question 19

GI bleed

Answer 19

NS B-blocker (lowers portal blood pressure)

Caution - b-blockers (may mask signs of acute bleeding)

Question 20

Pheo

Answer 20

ALPHA BLOCKER&raquo_space; then BETA BLOCKER

Caution - selective beta blocker - unopposed alpha agonism)

Question 21

BPH

Answer 21

Alpha1 antagonist (Terazosin)
Caution - selective beta blocker (unopposed alpha agonism)

Question 22

Proximal RTA

Answer 22

Type II

Bicarbonate reabsoprtion problem due to acquired: myeloma, renal transplant, ifosfamide, l-lysine

Question 23

Distal RTA

Answer 23

Type I
Defect in urine acidification due to acquired:
Sjogren’s syndrome
Sarcoidosis, urinary tract obstruction, amphotericin B, lithium

Question 24

Type 4 RTA

Answer 24

Defect in ammonium secretion caused by: hypERK, low renin and aldosterone
DM, Glomerulosclerosis, Advanced CKD

Question 25

Systemic causes of Nephrotic Syndrome

Answer 25

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

Question 26

primary aldosteronism presentation

Answer 26

low K

HTN

Question 27

Person has sarcoidosis and is on prednisone. HTN caused by what?

Answer 27

Cushings Syndrome