Hypertension

Question 1

Steps of hypertension treatment

Answer 1

1. lifestyle
2. drugs
3. modify drugs
4. more drugs or diuretic added

Question 2

Math equations

Answer 2

CO= HR x SV
MAP= CO x PVR

Question 3

ACE inhibitors

Answer 3

(-PRIL) catopril, enalapril, ramipril, benazepril

Question 4

Complications of ACE inhibitors

Answer 4

cough, angioedema

Question 5

Ace inhibitor special stuff

Answer 5

watch out for hyperkalemia, NSAIDS decrease effect

Question 6

ARB drugs(angiotensin II receptor blocker)

Answer 6

(-SARTAN) Losartan, irbesartan, olemasartan, valsartan, azilsartan

Question 7

ARB special stuff

Answer 7

watch out for lithium toxicity
opposite aldosterone

Question 8

Aldosterone agonist drugs

Answer 8

(-one) eplerenone, spironolactone

Question 9

Aldosterone agonist special stuff

Answer 9

watch out for
hyperkalemia(salt substitutions)
lithium toxicity
orthostatic hypotension(diuretics)

Question 10

Direct Renin inhibitor drugs

Answer 10

Aliskiren

Question 11

Direct Renin inhibitor complications

Answer 11

angioedema, diarrhea, no pregnancy

Question 12

Direct Renin inhibitor special stuff

Answer 12

Furosemide decreased effects
increased effect HTN meds
Increased effect statin
decrease absorption high fat foods

Question 13

Calcium channel blockers

Answer 13

(-PINE) nifedipine, nicardipine, amlodipine, diltiazem, verapamil

Question 14

Calcium channel blockers complications

Answer 14

V&D: peripheral edema, bradycardia

Question 15

Calcium channel blockers special stuff

Answer 15

NO: beta blockers, grapefruit juice

Question 16

Alpha adrenergic blocker drugs (sympatholytic)

Answer 16

(-ZOSIN) prazosin, doxazosin, terzosin

Question 17

Alpha adrenergic blocker special stuff

Answer 17

hypotension with other HTN meds

Question 18

Centrally acting Alpha 2 agonist drugs

Answer 18

Clonidine, guafacine, methyldopa

Question 19

Centrally acting Alpha 2 agonist complications

Answer 19

drowsiness, sedation, dry mouth, rebound hypertension if stopped abruptly, CNS depression

Question 20

Centrally acting Alpha 2 agonist special stuff

Answer 20

no alcohol, no pregnant

Question 21

Cardioselective Beta blocker drugs (sympatholytics)

Answer 21

Cardiac only
(MAE)Beta 1: metoprolol, atenolol, esmolol

Question 22

Nonselective Beta blocker drugs (sympatholytics)

Answer 22

Cardiac and pulmonary
Beta 1&2: propanolol, nadolol

Question 23

Alpha and Beta blocker drugs (sympatholytics)

Answer 23

A & B: carvedilol, labetolol

Question 24

Beta 2 blocker special stuff

Answer 24

(LOL)
no diabetes, pregnancy, athsma

Question 25

Diuretics drugs first line

Answer 25

Thiazide(first choice): chlorothiazide, hydrochlorothiazide, methyclothiazide, metolazone

Question 26

Diuretics drugs non first choice

Answer 26

amiloride, spironolactone, triamterene

Question 27

Hypertensive crisis meds

Answer 27

Nitro prusside (first choice), nitroglycerin, nicardipine, clevdipine, enalaprit, esmolol, labetolol

Question 28

Hypertensive crisis meds special stuff

Answer 28

no other IV meds at same time

Question 29

Hypotension drugs

Answer 29

Midodrine, droxidopa(orthostatic hypotension), vasopressors, adrenergic agonists