Will be on exam 1 Flashcards
Stage 2 HTN:
1) What is the BP of this stage?
2) What is the general Tx?
3) 2 drug combination preferred and highly recommended if what?
4) When do you reassess after initiating treatment?
1) >/= 140/90 mmHg
2) Lifestyle management and meds
3) Still >20/10mmHg away from goal using:
ACEi or ARB with CCB
or
ACEi or ARB with thiazide
4) 1 month
List the most appropriate first line meds for HTN with HF (HFpEF and HFrEF)
For both: ACEi or ARB, then add beta blocker; diuretic if edema
List the most appropriate first line meds for HTN with:
1) SIHD
2) Secondary stroke prevention
1) Beta blocker, then add ACEi or ARB
2) Thiazide or thiazide with ACEi
List the most appropriate first line meds for HTN with:
1) DM
2) CKD
1) ACEi, ARB, CCB, or thiazide
2) ACEi or ARB
________________ is contraindicated in history of stroke or TIA, or if stroke or TIA occurs with therapy.
Prasugrel
List the inclusion criteria for altepase (tPA) use in acute ischemic stroke
Age > 18 years old, clinical diagnosis of ischemia stroke with meurologic defecit, time of symptom onset well established to be < 4.5 hrs from treatment initiation.
List the contraindications for altepase (tPA) use in acute ischemic stroke
Symptoms/imaging consistent with SAH or acute inracerebral hemorrhage, current use of direct thrombin inhibitors or direct factor Xa inhibitors in prior 48 hrs, use of treatment-dose low molecular weight heparin in prior 24 hours, infective endocarditis, intra-axial or intracranial neoplasm, aortic arch dissection, active internal bleeding or coagulopathy (platelets < 100,000), severe head trauma in prior 3 months, gastrointestinal malignancy or bleeding within prior 21 days.
What is a desirable total cholesterol level?
<200
What is an optimal LDL level?
<100
What is an optimal HDL in men and women?
<40 in men, <50 in women
1) What are normal triglycerides?
2) What are very high triglycerides?
1) <150
2) >/=500
What is high total cholesterol?
> /= 240