Hypertension

Question 1

When would you initiate dual anti-hypertensive therapy in a patient from the beginning of treatment?

Answer 1

If SBP > 160

Question 2

What anti-HTN drugs are CI in asthma?

Answer 2

B-blockers

Question 3

What anti-HTN drugs are CI in pregnancy?

Answer 3

ACEI/ARB

Question 4

What anti-HTN drugs are CI in gout?

Answer 4

Thiazides

Question 5

What is the target BP for anti-HTN?

Answer 5

140/90

Question 6

What drugs should be prescribed for patients with HTN under 55 who are not black?

Answer 6

ACEI/ARB

Add CCB or diuretic

Combine

Question 7

What drugs should be prescribed for patients with HTN > 55 or patients of any age who are black?

Answer 7

CCB or diuretic

Then add ACEI/ARB

Then combine 3

Question 8

What antihypertensives can be used in pregnancy?

Answer 8

Methyldopa
Labetolol

Hydrazine
MR nifedipine

MgSO4 in eclampsia- also anti-convulsant

Question 9

What is the mx of a hypertensive crisis?

Answer 9

True emergency with monitoring of intra-arterial BP: nitroprusside and beta blocker

IV GTN- less invasive monitoring

PO- long acting CCB e.g. MR nifedipine (avoid sublingual/buccal), amlodipine

Reduce by 15-25% in first hour