Module 10 Questions: HF & HTN Flashcards
BP Threshold and Goals of Pharmacologic Therapy in patients with HTN according to clinical conditions.
These two following conditions are at what BP threshold?
- Secondary Stroke Prevention
- No Clinical CVD and 10-Year ASCVD Risk <10%
1) ≥130/80
2) ≥ 140/90
2) ≥ 140/90
Can moderate alcohol consumption be OK to help in lowering BP?
Yes or No?
Yes.
Never add more than one BP medication at a time.
True or False?
True
You should make changes to BP medications in less than two weeks.
True or False?
False
Don’t give patient an ACEi and an ARB, because the ARB makes the ACEi a sugar pill.
True or False?
True
Diuretics and CCBs are indicated for black race.
True or False?
True
Which med is indicated for atrial fibrillation?
1) ACEi
2) Diuretics
3) ARBs
4) CCBs
5) BBs
3) ARBs
- Hypokalemia and other electrolyte imbalances
- Negative effect on glucose and lipids
- Chlorthalidone
- Hydrochlorothiazide
- Indapamide
- Metolazone
Which drug class?
1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics
3) Thiazide diuretics
- Hypokalemia and other electrolyte balances
- Bumetanide (Bumex)
- Furosemide (Lasix)
- Torsemide (Demadex)
Which drug class?
1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics
1) Loop diuretics
- May enhance hyperkalemic effects of drug therapies (ACEi, aldosterone antagonists, etc)
- Amiloride
- Triamterene
Which drug class?
1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics
4) Potassium-sparing diuretics
- Hyperkalemia (from Eplerenone)
- Gynecomastia (from spironolactone)
Which drug class?
1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics
2) Aldosterone antagonists
Is lifestyle modification alone reasonable?
Yes or No?
Yes for normal BP, elevated BP, and S1HTN without ASCVD and a 10-year risk below 10%
NSAIDs don’t make heart failure worse, and don’t lead to swelling.
True or False?
False.
Beta Blockers will cause a temporary worsening of the heart failure symptoms.
True or false?
True
Avoid which TWO CCBs in heart failure?
- D________
- V________
Diltiazem
Verapamil
Beta blockers don’t have to be on board for every heart failure patient.
True or false?
False
It’s OK to use pioglitazone (Actos), a TZD, in patients with heart failure.
True or False?
False
Patients at high risk for heart failure but without structural heart disease or symptoms of heart failure.
NYHA Func. class / ACC/AHA Stage
- N/A, A
- I, B
- II, C
- III, C
- IV, C & D
- N/A, A
Patients with cardiac disease but without limitations of physical activity. Ordinary physical activity does not cause undue fatigue, dyspnea, or palpitation.
NYHA Func. class / ACC/AHA Stage
- N/A, A
- I, B
- II, C
- III, C
- IV, C & D
- I, B
Patients with cardiac disease that results in slight limitations of physical activity. Ordinary physical activity results in fatigue, palpitations, dyspnea, or angina.
NYHA Func. class / ACC/AHA Stage
- N/A, A
- I, B
- II, C
- III, C
- IV, C & D
- II, C
Patients with cardiac disease that results in marked limitation of physical activity. Although patients are comfortable at rest, less than ordinary activity will lead to symptoms.
NYHA Func. class / ACC/AHA Stage
- N/A, A
- I, B
- II, C
- III, C
- IV, C & D
- III, C
Patients with cardiac disease that results in an inability to carry on physical activity without discomfort. Symptoms of heart failure are present at rest. Stage D refers to end-stage heart failure patients.
NYHA Func. class / ACC/AHA Stage
- N/A, A
- I, B
- II, C
- III, C
- IV, C & D
- IV, C & D
When you go from III to IV for NYHA Funct. Class, it means you are no longer comfortable at rest.
True or False?
True
