Choosing the right medication

Question 1

What is the general first line anti-HPT agent?

Answer 1

1. Thiazides - HCTZ

Question 2

For patients with diabetes (with NO proteinuria), your first-line options will be:

Answer 2

1. Thiazides - HCTZ

Same as general population

Question 3

If your DM patient has albuminuria, you may consider starting with?

Answer 3

ACE-I or ARB

These drugs have been shown to slow the progression of albuminuria and help preserve kidney function.

Question 4

1st line Rx for CKD pt’s especially with proteinuria:

Answer 4

ACE-I or ARB

Question 5

1st line Rx for Black pt’s:

Answer 5

1. Thiazide
2. Or CCB

Question 6

Black patients with diabetic nephropathy, you’ll still get the best response by using?

Answer 6

ACE-I or ARB first

Question 7

1st line Rx for Pregnant pt’s?

Answer 7

1. Methyldopa (alpha-2 agonist)
2. Or CCB - Nifedipine
3. Or B-blocker - Labetalol

Question 8

For patients with a recent myocardial infarction or heart failure - 1st and 2nd line options?

Answer 8

1st line: B-blocker

2nd line: ACE-I or ARB

Question 9

For patients with stable coronary artery disease - 1st and 2nd line options?

Answer 9

1st line: ACE-I or ARB

2nd line: B-blocker or CCB