CV-Hypertension Flashcards
(23 cards)
HTN Meds - CCB
- Side Effect: Peripheral edema
- Indications: JNC8, Angina
HTN Meds - ACE
Side effect: increased K, cough, angioedema
Indications: JNC8
HTN Meds - ARB
Side effect: increased K, no cough, no angioedema
Indications: ACE-I
HTN Meds - Thiazide
side effect: decreased K, urine Sxs
Indications: GFR > 60
HTN Meds - Loop
side effect: lower K, urine sxs
Indications: GFR < 60
HTN Meds - BB
side effect: lower HR
Indications: CAD, CHF
HTN Meds - Art-Dilator
side effect: reflex tachycardia
Indications: CHF
HTN Meds - Veno-dilator
side effect: sildenafil = hypotension
indications: CHF
HTN Meds - Spironolactone
side effect: raise K, gynecomastia
indications: CHF
HTN Meds - Clonidine
side effect: REBOUND HTN
indications: Never
HTN Clinical
Pt: 120/80 is normal 140/90 is Stage I 160/100 is Stage II Dx: Screen EVERYONE 2 readings 2 weeks 2 visits Best: Ambulatory monitoring Tx: See HTN Meds
Stages of HTN (JNC-7) Normal
BP: 120/80
Meds: lifestyle
Stages of HTN (JNC-7) Pre-HTN
BP: none given
Meds: lifestyle
Stages of HTN (JNC-7) Stage I
BP: 140/90
Meds: 1 med
Stages of HTN (JNC-7) Stage II
BP: 160/100
Meds: 2 med
Stages of HTN (JNC-7) Urgency
BP: 180/110
Meds: orals
Stages of HTN (JNC-7) Emergency
BP: End organ damage
Meds: IVs
JNC-8 guidelines; 1
> 60 and NO disease = 150/90
JNC-8 guidelines; 2
Everyone else = 140/90
JNC-8 guidelines; 3
CCB, Thiazide, ACE/ARB are ok
JNC-8 guidelines; 4
Old and Black = no ACE/ARB
JNC-8 guidelines; 5
CKD = ACE/ARB
JNC-8 guidelines; 6
No beta blockers!! (4th med)
