Module 7: HTN Flashcards

1
Q

HTN

-Complications

A
  1. Left Ventricular hypertrophy
  2. HFrEF & HFpEF
  3. Ischemic stroke
  4. Intracerebral hemorrhage
  5. Ischemic heart dz (MI & coronary interventions)
  6. CKD and end stage kidney dz
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2
Q

HTN

-Medications that increase BP

A
  1. 95% of HTN is primary or “essential”
  2. Meds that increase BP include:
    - Oral contraceptives (higher doses of estrogen
    - NSAIDS
    - SSRI’s
    - Corticosteroids
    - Stimulants

Illicit drugs
-Cocaine and methamphetamines

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3
Q

Conditions that cause HTN?

A
  1. Hyperthyroidism
  2. Primary renal dz
  3. Pheochromocytoma
  4. Primary aldosteronism
  5. Cushing’s syndrome
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4
Q

Medications to use for?

-HFrEF

A
  1. Ace inhibitors
  2. ARB’s
  3. Beta blockers
  4. Diuretic
  5. Aldosterone antagonist
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5
Q

Medications to use for?

-Post MI

A
  1. ACE inhibitors
  2. ARB’s
  3. Beta blockers
  4. Aldosterone antagonist
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6
Q

Medications to use for?

-Proteinuric CKD

A
  1. ACE inhibitor

2. ARB

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7
Q

Medications to use for?

-Angina Pectoris

A
  1. Beta Blocker

2. Calcium channel blocker

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8
Q

Medications to use for?

-Atrial Fibrillation & Flutter rate control?

A
  1. Beta blocker

2. Non-dihydropyridine calcium channel blocker

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9
Q

Meds w/ Favorable Effects on Symptoms of?

-BPH

A
  1. Alpha blockers
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10
Q

Meds w/ Favorable Effects on Symptoms of?

-Essential Tremor

A
  1. Beta blocker (non-cardioselective)
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11
Q

Meds w/ Favorable Effects on Symptoms of?

-Hyperthyroidism

A
  1. Beta blocker
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12
Q

Meds w/ Favorable Effects on Symptoms of?

-Migraine

A
  1. Beta Blocker

2. Calcium channel blocker

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13
Q

Meds w/ Favorable Effects on Symptoms of?

-Osteoporosis

A
  1. Thiazide Diuretics
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14
Q

Meds w/ Favorable Effects on Symptoms of?

-Raynaud Phenomena

A
  1. Dihydropyridine Calcium channel blocker
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15
Q

Meds that are Contraindicated w/

-Angioedema

A
  1. DO not use ACE inhibitors
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16
Q

Meds that are Contraindicated w/

-Bronchospastic disease

A
  1. Do not use a NON-Selective beta blocker
17
Q

Meds that are Contraindicated w/

-Liver disease

A
  1. Do not use methyldopa
18
Q

Meds that are Contraindicated w/

-Pregnancy

A
  1. Do not use:
    - ACE inhibitors
    - ARB’s
    - Renin inhibitor (ex: aliskiren)
19
Q

Meds that are Contraindicated w/

-2nd or 3rd degree Heart block

A
  1. Do not use
    - Beta blocker
    - Non-dyhydropyridine calcium channel blocker (Unless pt has functioning ventricular pacemaker)
20
Q

Meds that are Adverse Effects On Comorbid conditions?

-Depression

A
  1. Generally avoid
    - Beta blockers
    - Central alpha-2 agonist
21
Q

Meds that are Adverse Effects On Comorbid conditions?

-Gout

A
  1. Generally avoid

- Loop or thiazide diuretics

22
Q

Meds that are Adverse Effects On Comorbid conditions?

-Hyperkalemia

A
  1. Generally avoid
    - Aldosterone antagonist
    - ACE inhibitor
    - ARB
    - Renin inhibitor
23
Q

Meds that are Adverse Effects On Comorbid conditions?

-Hyponatremia

A
  1. Verbally avoid

- Thiazide diuretics

24
Q

Meds that are Adverse Effects On Comorbid conditions?

-Renovascular Dz

A
  1. Generally avoid
    - ACE inhibitor
    - ARB
    - Renin Inhibitor