Management of Hypertension Flashcards
What are examples of generic BP drugs?
Thiazide diuretics ACE inhibitors/ARBs Ca channel antagonists B blockers Sprinolactone. Slide 25
What are more targeted drugs for specific CVD?
B blockeres in angina
ACEI and B blockers in CCF
ACEI/ARBs in nephropathy.
Thiazides in elderly for HF. Slide 26
B blockers are the first line treatment in primary hypertension. True or False?
False, they should not be first line, makes it more complicated. Slide 27
What is the antihypertensive drug treatment pathway?
<55 years - ACEI/ ARBs
>55 years or afro-carribean - Ca blocker
Then both preceed to ACEI + Ca blocker.
If no improvement add thiazide like diuretic. Slide 29
Staring with 2 drugs is always better than starting with one. True or False?
True, studies prove this that combined drugs at lower doses have less side effects and work just as well as high dose monotherapy. Slide 35+36
What are reasons for resistance hypertension?
Non-compliance White coat effect Pseudo-hypertension Lifestyle factors Drug interactions Secondary hypertension True resistance. Slide 43
How is the most effective treatment for resistant hypertension?
Spironolactone. Slide 51
What do you have to bare in mind when administering spirnolactone?
It has a narrow therapeutic window and safe for use with adequate monitoring. Slide 53
What new technology is out just now to help with hypertension?
The baro-receptor stimulation
Rox Coupler. Slide 55,57,59
