Tx FInal Flashcards
HTN stable ischemic HD
-BB blockers
-ACE/ARBs
-consider CCBs
HTN in HF
-HFrEF: BB+MRA+SGLT2
-HFpEF: SGLT2
-AVOID CCBs
HTN CKD tx
-stage 1 or 2 +albuminuria or stage 3: ACEi/ARBs
-CCB in post kidney transplant
HTN in Cerebrovasc disease
-ACE/ARB
-TZD
-combo
HTN diabetes
-firstlines are fine
-ACE/ARBs if albuminuria (>300mg/day)
HTN tx pregnancy
-methyldopa
-nifedipine
-labetalol
-AVOID, ACEi/ARBs, renin inhibitor
HTN black adults
-TZD or CCB
-unless HF or CKD
Resistant HTN
-max ACE/ARB. TZD, CCB
-sub TZD for chlorthalidone
-add MRA
-add BB if HR>70, consider clonidine
-add hydralazine
-sub hydralazine for minoxidil
HTN crisis + aortic disection
-BB
-then nicardipine, clevidine, nitroprusside
HTN crisis acute HF w PE
-nitroprusside, nitroglycerin
-nicardipine, clevidipine alternatives
HTN crisis stroke
-labetolol
-nicardipine
-clevidipine
HTN crisis acute coronary syndromes
any
HTN crisis AKI
-caution nitroprusside
-AVOID ACE/ARB
HTN crisis eclampsia
-labetalol
-nicardipine
-hydralazine
-AVOID ACE/ARB and nitroprusside
HTN crisis pheochromocytoma
-BB + nicardipine or clevidipine
-historically phentolamine
Hydrophilic statins
-lower risk for muscle toxicity
-prava and rosuvastatin
statin therapy for primary prevention
-high: LDL>190
-mod: DM but consider high
statin therapy in ASCVD
-high intensity if under 75 or high risk
-weigh benefits if over 75
after Statin therapy max
-high or mod per guidelines
-add ezetimibe
-consider PCSK9 inhibitor
TG tx
-statin
-fibrate or omega-3
short-acting insulin
-aspart
-lispro
-glulisine
