L6: HTN (Pt 4)

Question 1

Def of Resistant HTN

Answer 1

Question 2

Etiology of Resistant HTN

Answer 2

Question 3

Etiology of Resistant HTN

• Meds

Answer 3

• Inadequate doses
• Drug actions and interactions (e.g., (NSAIDs)
• illicit drugs, sympathomimetics, OCP
• Over-the-counter drugs and some herbal supplements

Question 4

TTT of Resistant HTN

Answer 4

Question 5

Def of Pseudoresistant HTN

Answer 5

Question 6

Causes of Pseudoresistant HTN

Answer 6

Question 7

Def of Hypertensive Emergency

Answer 7

Question 8

Def of Hypertensive Urgency

Answer 8

Severe elevation of BP (DBP > 115) WITH No progressive end-organ disease

Question 9

Hypertensive Emergency

• CNS

Answer 9

Question 10

Hypertensive Emergency

• CVS

Answer 10

Question 11

Hypertensive Emergency

• Renal

Answer 11

Question 12

Cerebral Autoregulation

Answer 12

Question 13

Therapeutic considerations in hypertensive emergencies

Answer 13

Question 14

Therapeutic considerations in hypertensive emergencies

• Potential Complications of Therapy

Answer 14

Question 15

Therapeutte considerations in hypertensive emergencies

• Initial Lowering of BP (Therapeutie Guldelines)

Answer 15

Question 16

• High BP WITHOUT acute end-organ dysfunction IS NOT a hypertensive emergency and called “Hypertensive Pseudoemergency

Answer 16

….

Question 17

TTT of Hypertensive Emergencies

• …….have been available for years and are preferred in most conditions.

Answer 17

• Labetalol and esmolol

Question 18

TTT of Hypertensive Emergencies

• Nitroglycerin and sodium nitroprusside have also been widely available, but their use is limited primarily to individuals with ……

Answer 18

• myocardial ischemia
• acute pulmonary edema
• acortic dissection

Question 19

TTT of Hypertensive Emergencies

• third-generation agent …….., represents the first agent for hypertensive emergency to be introduced

Answer 19

Clevidipine

Question 20

Pharmacologic TTT of Hypertensive Emergency

Answer 20

• Nitroprusside
• Nitroglycerin
• Nifidipiine
• Labetalol
• Diazoxide
• Hydralazine
• ACEis
• Fenoldopam
• Nicardipine

Question 21

Pharmacologic TTT of Hypertensive Emergency

• Nitroprusside (MOA, Value, SE)

Answer 21

Question 22

Pharmacologic TTT of Hypertensive Emergency

• Nitroglycerin (MOA, Value)

Answer 22

Question 23

Nitroglycerin and Nitroprusside in HTN Emergency

• Adv
• SE
• Dosing & Monitoring

Answer 23

Question 24

Pharmacologic TTT of Hypertensive Emergency

• Nifidipine (MOA, Onset, SE)

Answer 24

Question 25

Pharmacologic TTT of **Hypertensive Emergency** - Sublingual Nifidipine

Answer 25

Question 26

Pharmacologic TTT of **Hypertensive Emergency** - Labetalol (MOA, Onset)

Answer 26

Question 27

Pharmacologic TTT of **Hypertensive Emergency** - Diazoxide (Onset, SE)

Answer 27

Question 28

Pharmacologic TTT of **Hypertensive Emergency** - Hydralazine (Onset, SE, Value)

Answer 28

Question 29

Pharmacologic TTT of **Hypertensive Emergency** - ACEIs

Answer 29

Question 30

Pharmacologic TTT of **Hypertensive Emergency** - New Agents

Answer 30

Question 31

Pharmacologic TTT of **Hypertensive Emergency** - Fenoldepam - Nicardipine

Answer 31

Question 32

Management of Specific Hypertensive Emergencies

Answer 32

Question 33

Management of Specific Hypertensive Emergencies - Hypertensive Encephalopathy

Answer 33

Question 34

**Hypertensive Encephalopathy** - Mechanism

Answer 34

Question 35

**Hypertensive Encephalopathy** - CP

Answer 35

Question 36

**Hypertensive Encephalopathy** - DDx

Answer 36

Question 37

SAH - Rebleeding - Risk - TTT - Precautions

Answer 37

Question 38

Def of **Aortic Dissection**

Answer 38

Tear in intima separation or "dissection" of wall longitudinally

Question 39

TTT of **Aortic Dissection**

Answer 39

Question 40

Classification of **Pre-Eclamsia/Eclampsia**

Answer 40

Question 41

TTT of **Pre-Eclamsia/Eclampsia**

Answer 41

Question 42

Clinical Characters of **Hypertensive Crises**

Answer 42

Question 43

Clinical Characters of **Hypertensive Crises** - BP

Answer 43

Question 44

Clinical Characters of **Hypertensive Crises** - Fundoscopic Findings

Answer 44

Question 45

Clinical Characters of **Hypertensive Crises** - Neurological Status

Answer 45

Question 46

Clinical Characters of **Hypertensive Crises** - Cardiac Findings

Answer 46

Question 47

Clinical Characters of **Hypertensive Crises** - Renal

Answer 47

Question 48

Clinical Characters of **Hypertensive Crises** - GIT

Answer 48

Question 49

Conditions to be differentiated from a hypertensive crisis

Answer 49

Question 50

Done with this Dumb Lecture

Answer 50

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