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Y4R7 - Medicine III 🩺 > L6: HTN (Pt 4) > Flashcards

L6: HTN (Pt 4) Flashcards

1
Q

Def of Resistant HTN

A
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2
Q

Etiology of Resistant HTN

A
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3
Q

Etiology of Resistant HTN

  • Meds
A
  • Inadequate doses
  • Drug actions and interactions (e.g., (NSAIDs)
  • illicit drugs, sympathomimetics, OCP
  • Over-the-counter drugs and some herbal supplements
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4
Q

TTT of Resistant HTN

A
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5
Q

Def of Pseudoresistant HTN

A
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6
Q

Causes of Pseudoresistant HTN

A
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7
Q

Def of Hypertensive Emergency

A
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8
Q

Def of Hypertensive Urgency

A

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

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9
Q

Hypertensive Emergency

  • CNS
A
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10
Q

Hypertensive Emergency

  • CVS
A
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11
Q

Hypertensive Emergency

  • Renal
A
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12
Q

Cerebral Autoregulation

A
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13
Q

Therapeutic considerations in hypertensive emergencies

A
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14
Q

Therapeutic considerations in hypertensive emergencies

  • Potential Complications of Therapy
A
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15
Q

Therapeutte considerations in hypertensive emergencies

  • Initial Lowering of BP (Therapeutie Guldelines)
A
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16
Q
  • High BP WITHOUT acute end-organ dysfunction IS NOT a hypertensive emergency and called “Hypertensive Pseudoemergency
A

….

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17
Q

TTT of Hypertensive Emergencies

  • …….have been available for years and are preferred in most conditions.
A
  • Labetalol and esmolol
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18
Q

TTT of Hypertensive Emergencies

  • Nitroglycerin and sodium nitroprusside have also been widely available, but their use is limited primarily to individuals with ……
A
  • myocardial ischemia
  • acute pulmonary edema
  • acortic dissection
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19
Q

TTT of Hypertensive Emergencies

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

Clevidipine

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20
Q

Pharmacologic TTT of Hypertensive Emergency

A
  • Nitroprusside
  • Nitroglycerin
  • Nifidipiine
  • Labetalol
  • Diazoxide
  • Hydralazine
  • ACEis
  • Fenoldopam
  • Nicardipine
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21
Q

Pharmacologic TTT of Hypertensive Emergency

  • Nitroprusside (MOA, Value, SE)
22
Q

Pharmacologic TTT of Hypertensive Emergency

  • Nitroglycerin (MOA, Value)
23
Q

Nitroglycerin and Nitroprusside in HTN Emergency

  • Adv
  • SE
  • Dosing & Monitoring
24
Q

Pharmacologic TTT of Hypertensive Emergency

  • Nifidipine (MOA, Onset, SE)
25
Q

Pharmacologic TTT of Hypertensive Emergency

  • Sublingual Nifidipine
26
Q

Pharmacologic TTT of Hypertensive Emergency

  • Labetalol (MOA, Onset)
27
Q

Pharmacologic TTT of Hypertensive Emergency

  • Diazoxide (Onset, SE)
28
Q

Pharmacologic TTT of Hypertensive Emergency

  • Hydralazine (Onset, SE, Value)
29
Q

Pharmacologic TTT of Hypertensive Emergency

  • ACEIs
30
Q

Pharmacologic TTT of Hypertensive Emergency

  • New Agents
31
Q

Pharmacologic TTT of Hypertensive Emergency

  • Fenoldepam
  • Nicardipine
32
Q

Management of Specific Hypertensive Emergencies

33
Q

Management of Specific Hypertensive Emergencies

  • Hypertensive Encephalopathy
34
Q

Hypertensive Encephalopathy

  • Mechanism
35
Q

Hypertensive Encephalopathy

  • CP
36
Q

Hypertensive Encephalopathy

  • DDx
37
Q

SAH

  • Rebleeding
  • Risk
  • TTT
  • Precautions
38
Q

Def of Aortic Dissection

A

Tear in intima separation or “dissection” of wall longitudinally

39
Q

TTT of Aortic Dissection

40
Q

Classification of Pre-Eclamsia/Eclampsia

41
Q

TTT of Pre-Eclamsia/Eclampsia

42
Q

Clinical Characters of Hypertensive Crises

43
Q

Clinical Characters of Hypertensive Crises

  • BP
44
Q

Clinical Characters of Hypertensive Crises

  • Fundoscopic Findings
45
Q

Clinical Characters of Hypertensive Crises

  • Neurological Status
46
Q

Clinical Characters of Hypertensive Crises

  • Cardiac Findings
47
Q

Clinical Characters of Hypertensive Crises

  • Renal
48
Q

Clinical Characters of Hypertensive Crises

  • GIT
49
Q

Conditions to be differentiated from a hypertensive crisis

50
Q

Done with this Dumb Lecture

Y4R7 - Medicine III 🩺 (28 decks)

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