Hypertention Flashcards
Loop Diuretics SE
poor antiHTN, used more for fluid ret in hear and kid fail
SE: hypoK - SUPPLEMENT
all other minerals are hypo
C/I with thiazide
SE
sensitivity to Sulfa (not J)
SE: hypoK, hypoMg, hypo Na, gout, poss glucose dist
hyperCa
K sparing duiretics CI
TRIAMTERENE
CI with liver dz, kid fail, HyperKalimia
weak anti HTN, caution with Ace, ARB, DRI, K Supplements
SE: high K, Kid dz, kid stones
Aldo Antagonist example
Spironolactone
SE: high K, man boobs
CI; kidney dz, DM wtih proteins, high K
Spironolactone is a
Aldo antagonist
Triamterene is a
K sparing Deuretic
Ca ch blockers CCB
- high eff in blacks, olds
- non dihyrophyridine - cardiac depressant SE: bradycardia, constipation, worse HF
CI acute MI, urgent ER HTN
dehytropyridine - dilator (amloDIPINE) SE: HA, periph edema, flushing
CI acute MI< urget ER HTN, !!!!! imm release Nifedizine is CI (procardia) with DIPINES dihydropyride CCBs
ACE inh
PRILs
CI pregs, angioedema, renal a stenosis
SE: COUGH, high K
ARB angio receptor blocker
artan
CI pregs, renal a stenosis
SE high K, angioedema, acute kid fail
Direct Renin inh
Aliskiren
CI pregs, Ace, ARB
Beta Blockers BB
LOL
Cardio selective (B1): atenol, Toprol,
non cardio selective (b1 and b2) : propranolol,
Combo alpha and beta: carvedolo
AVOID ABRUPT CESS
CI NOT FOR UNSTABLE HR, HF, hypotension, AV block cardiogenic shock (low BP)
Central Alpha agonists
stim alpha 2 AVOID ABRUPT CESS METHYLDOPA OK IN PREGS Clonidine and methyldopa CIL methyldopa in liver dz SE: Bradycardia, ortho hypo, dizzy, rebound HTN
ALpha Blockers
Alpha 1 ZOSINs -NOT MONO< increased risk of HF with DOXAZOSIN SE: orthohypo, reflex tachy, dizziness
PRILs are
ACE Inh
CI in preg, renal a stenosis, edema
COUGH
April coughs
