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Pharmacy > Antihypertensive > Flashcards

Antihypertensive Flashcards

1
Q

Normal blood pressure
Systolic _____ Hg and
diastolic ____mmHg.

A

<120mm Hg
<80 mm Hg

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2
Q

Elevated blood pressure
Systolic ___ – ___ mg Hg and diastolic, 80mm Hg

A

Systolic 120 – 129 mg Hg

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3
Q

Stage 1

Systolic __-___ mm Hg or
diastolic __ to __ mm Hg

A

Systolic 130-139 mm Hg
diastolic 80 to 89 mm Hg

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4
Q

Stage 2
Systolic at least ___ mm Hg or
diastolic at least ___ mm Hg

A

Systolic at least 140 mm Hg
diastolic at least 90 mm Hg

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5
Q

Step-Care Regimen Hypertension
Step 1 is ______
(Salt restriction Weight reduction Exercise Stress reduction Sleep.)

A

Life Style Changes

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6
Q

Step-Care Regimen Hypertension
Step 2 is _____
and is used to control 80% of patients

A

Use of Thiazide Diuretic, ACE-I, ARB, or CCB

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7
Q

Consider using ___ instead of an ACE-I in African American patients due to
the increased risk of angioedema.

A

ARB

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8
Q

Step-Care Regimen Hypertension
Step 3 is _____

  1. Use of Thiazide Diuretic, ACE-I, ARB, or CCB (use one).
  2. Life Style Changes
  3. Increase dose of drugs or combine two drugs
A

Increase dose of drugs or combine two drugs

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9
Q

Step-Care Regimen Hypertension
Step 4 is _____

A

Combine 2-3 of Step 3.

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10
Q

Action of what class of antihypertensive
(a) Lower blood pressure by dilating or increasing the size of the arterial blood
vessels.
(b) Angiotensin-converting Enzyme (ACE): Converts angiotensin I to angiotensin
II.

  1. Calcium Channel Blocker
  2. ACE Inhibitors, ARBs
  3. Beta Blocker
A

ACE Inhibitors, ARBs

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11
Q

What type of Hypertensive?
a) Lisinopril: Zestril, Prinivil
b) Captopril: Capoten
c) Enalapril: Vasotec
d) Ramipril: Altace

A

ACE-Inhibitors
(End with – “pril”)

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12
Q

What class of hypertensive?
These agents act by causing peripheral vasodilation (it inhibits calcium from getting into the muscle cells to cause contraction).

  1. Calcium Channel Blocker
  2. ACE Inhibitors, ARBs
  3. Beta Blocker
A

Calcium Channel Blocker

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13
Q

CCB’s are used in
Treating HTN, atrial cardiac arrhythmias
what two categories are there?

A

Dihydropyridines
Non-dihydropyridines

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14
Q

What category of CCB?
These are less potent vasodilators but have a greater depressive effect on cardiac conduction and contractility. These are used for treatment of chronic stable angina, cardiac arrhythmias, and for proteinuria reduction.

  1. Dihydropyridines
  2. Non-dihydropyridines
A

Non-dihydropyridines

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15
Q

What category of CCB?
These are potent vasodilators that have little or no negative effect upon cardiac contractility or conduction. These are primarily used for treatment of HTN.

  1. Dihydropyridines
  2. Non-dihydropyridines
A

Dihydropyridines

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16
Q

______compete with adrenergic (sympathetic) neurotransmitters (epinephrine and norepinephrine) for adrenergic receptor sites.

A

Beta blockers

17
Q

________adrenergic receptor sites are located chiefly in the heart where stimulation results in increased heart rate, contractility, and AV conduction

  1. Beta 1
  2. Beta 2
A

Beta 1

18
Q

________adrenergic receptors are found mainly in bronchial and vascular smooth muscle and the uterus.

  1. Beta 1
  2. Beta 2
A

Beta²

19
Q

Use of what medication?
Management of hypertension, angina pectoris, tachyarrhythmia, hypertrophic subaortic stenosis, migraine headache (prophylaxis), MI (prevention), glaucoma (ophthalmic use), congestive heart failure (CHF) (Carvedilol and sustained release Metoprolol only) and hyperthyroidism (management of symptoms only)

A

Beta Blockers

20
Q

Can your patient stop taking beta blockers abruptly?

A

NO

21
Q

These meds are examples of what antihypertensive?
(a) Metoprolol: Lopressor
(b) Propanolol: Inderal
(c) Atenolol: Tenormin

A

Beta Blockers (-olol)

22
Q

What class can you use for 1st line indication in the treatment of hypertension in patients with Diabetes mellitus

A

ACE Inhibitors, ARBs

23
Q

These are an example of what class?
a) Lisinopril: Zestril, Prinivil
b) Captopril: Capoten
c) Enalapril: Vasotec
d) Ramipril: Altace

A

ACE-Inhibitors
End with – “pril”

24
Q

These are an example of what class?
1) Losartan: Cozaar
2) Telmisartan: Micardis

A

ARB – Inhibitors

25
Q

Step-Care Regimen Hypertension
Step 1 is ______
(Salt restriction Weight reduction Exercise Stress reduction Sleep.)

A

Life Style Changes

Pharmacy (30 decks)

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