Hypertension Flashcards Preview

FAMILY MEDICINE > Hypertension > Flashcards

Flashcards in Hypertension Deck (20):
1

BP goals for under 60, over 60, and patients with DM or CKD

under 60 - 140/90
DM/CKD - 140/90
over 60 - 150/90

2

HTN can lead to....

heart attacks, CHF, preamture death, hypertensive nephrosclerosis -> end stage kidney disease

3

secondary causes of HTN

coarctation of aorta
renovascular/renal dx
Cushing dx
hyperthyroidism
hyperparathyroism
hyperaldosteronism
pheochromocytoma
OSA

4

Initial testing in evaluating HTN (labs and tests)

serum K, creatinine with GFR, Ca, blood glucose, fasting lipids, and Hct
U/A to check for proteinuria or other evidence of renal disease
ECG to check for CAD or LVH

5

Lifestyle modifications for HTN

weight control, exercise, quit smoking, limit alcohol to 1-2 drinks per day, DASH diet (high K and Ca)

6

Rx African American patients

Ca channel blocker/thiazide diuretic

7

Rx non-african american patient

thiazide, Ca channel blocker, ARB, ACE inhibitor

8

When to adjust dosage/add second drug

if goal BP not reached with one agent after 1 month

9

What additional med class is recommended in HTN patients with CAD or heart failure

beta blockers

10

What condition should you watch out for before prescribing beta blocker

Depression. B blockers can worsen depression

11

What class of meds is useful for HTN patient with hx of kidney stones

thiazide

12

Suffix of ACE inhibitors

-pril

13

Suffix of ARBs

-sartan

14

Suffix of Ca channel blockers

-dipine

15

Examples of thiazides

hydrochlorothiazide, chlorothiazide, chlorthalidone, methylclothiazide, metolazone

16

Suffix of beta blockers

-olol

17

First line in patient with DM

ARB or Ace inhibitor

18

Most common cause of HTN in children

renal parenchymal dx

do U/A, urine culture, and renal U/S for any child presenting with HTN

19

First line treatments for CKD patient

ACE inhibitors or ARBs as first line or add on treatment

20

Which class of BP meds can cause cough that can easily be overlooked

ACE inhibitor