Hypertension 2 Meds

Question 1

Beta blockers are reserved for patients who have significant ______ history ,

Answer 1

Cardiac

Question 2

Beta blockers used in what kinds of patients

Answer 2

Heart failure
Post MI
Coronary artery disease
Chronic kidney disease

Question 3

Beta blockers work by blocking _____ receptors in the heart and decrease effects of epinephrine and norepinephrine decreasing Bp and hr

Answer 3

Beta 1

Question 4

Cardioselective beta blockers include

Answer 4

AMEBBA
(Atenolol, metoprolol, esmolol, bispropolol, betaxaolol, acebutolol

Question 5

Nonspecific beta blockers include

Answer 5

Nadolol (cirrhosis)
Propanolol (migraine prophylaxis)
Timolol ( glaucoma)

Question 6

Adverse effects beta blockers

Answer 6

Initial is beta blocker blues, tired, fatigued, depressed

Sexual dysfunction, rebound HTN if sudden discontinued abruptly

Question 7

You have a pt who has a sudden increase in Bp, he reports that his doctor recently had discontinued a medication, what medication do you suspect he discontinued
1. Clonidine

2. Metoprolol
3. Prazosin

Answer 7

Metoprolol

Question 8

Ace inhibitor inhibits breakdown of _______

Answer 8

Bradykinin

Question 9

A patient with atrial fibrillation which beta blocker could be useful for this patient ?
- Nadolol
Metoprolol
Sotalol

Answer 9

Sotalol

Question 10

Alpha 1 blockers cause what adverse effects

Answer 10

Significant Orthostatic hypotension,
Dizziness, and vertigo

Question 11

Alpha 1 blockers include _____, _______
Not used unless _____ for bph

Answer 11

Terazosin, prazosin, doxazosin

Tamlusosin

Question 12

Why are alpha 1 agents used infrequently?

Answer 12

Orthostatic hypotension is a big risk

Question 13

Alpha 2 agonist which lower Bp (2)

Answer 13

Methyldopa
Clonidine

Question 14

Methyldopa is good when used for what _______

What agent is Methyldopa,

Alpha 2 agonist

Answer 14

Pregnancy

Question 15

Loop diuretics can cause elevated _____ and increase in ____, and what form of toxicity?

Answer 15

Uric acid
Serum creatinine clearence
Ototoxicity

Question 16

Spironolactone is used to help with what heart condition?

Answer 16

Reduced ejection fraction.

Question 17

Ace inhibitor is not safe for patients that are ______

Answer 17

Pregenent

Question 18

A 35 year old patient is in her third trimester, has an elevated blood pressure of 145/90 what hypertensive med could be used, for this patient?
1. Ace
2. Methyldopa
3. Clonidine,
4. Tamsulosin

Answer 18

methyldopa

Question 19

A 45 year old patient with a past medical history of gout, and depression, presents to the office, with two elevated blood pressure reading on more than 2 occasions, what 1st line treatment option would u want to avoid in this patient?

Answer 19

Any diuretic, loop and thiazide.

Question 20

Clonidine side effect

Answer 20

Cholinergic like, can cause dry mouth,

Question 21

When would Clonidine medication be used ?

Answer 21

Clonidine would be initiated if the patient is resistant to prior medications,

And useful as pain adjunct, and substance use

Question 22

Vasodilator drug class contain what 2 meds

Answer 22

Hydralyzine
Minoxidil

Question 23

Adverse effects of minoxidil and hydralyzine

Answer 23

Reflex tachycardia, coadminister a beta blocker

Also headache is very common

Question 24

Minoxidil side effect

Answer 24

Hirsutism.

Question 25

What meds can cause drug induced hypertension

Answer 25

Steroids Excess alcohol NSAIDS caffeine Estrogen Pseudoephedrine Amphetamine Duloxetine Appetite suppressing meds, such as coffee, green Tea, high fiber,

Question 26

What lifestyle factor has the greater reduction in Bp?

Answer 26

Weight loss

Question 27

What is a beta 1 selective med ?

Answer 27

Bisoprolol, atenolol, metoprolol, esmolol

Question 28

if pt has hypokalemia what diuretic, potassium sparing diuretic

Answer 28

triampterne, and amylidone Used with hydrochlourothalidone often

Question 29

when would u use potassium sparing diuretic

Answer 29

if pt has hypokalemia