Will be on exam 1 Flashcards

1
Q

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?

A

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

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2
Q

List the most appropriate first line meds for HTN with HF (HFpEF and HFrEF)

A

For both: ACEi or ARB, then add beta blocker; diuretic if edema

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3
Q

List the most appropriate first line meds for HTN with:
1) SIHD
2) Secondary stroke prevention

A

1) Beta blocker, then add ACEi or ARB
2) Thiazide or thiazide with ACEi

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4
Q

List the most appropriate first line meds for HTN with:
1) DM
2) CKD

A

1) ACEi, ARB, CCB, or thiazide
2) ACEi or ARB

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5
Q

________________ is contraindicated in history of stroke or TIA, or if stroke or TIA occurs with therapy.

A

Prasugrel

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6
Q

List the inclusion criteria for altepase (tPA) use in acute ischemic stroke

A

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.

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7
Q

List the contraindications for altepase (tPA) use in acute ischemic stroke

A

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.

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8
Q

What is a desirable total cholesterol level?

A

<200

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9
Q

What is an optimal LDL level?

A

<100

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10
Q

What is an optimal HDL in men and women?

A

<40 in men, <50 in women

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11
Q

1) What are normal triglycerides?
2) What are very high triglycerides?

A

1) <150
2) >/=500

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12
Q

What is high total cholesterol?

A

> /= 240

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