Hypertension Flashcards
(9 cards)
1
Q
Aetiology
A
ROPE Renal disease Obesity Pregnancy Endocrine e.g. Cushing's
2
Q
Risk factors for hypertension
A
- Age
- Alcohol
- Weight
- Diet
- Drugs: NSAIDs, Corticosteroids , OCP
3
Q
Classification of hypertension
A
Stage 1:
- 140/90 BP: clinical reading
- 135/85 ABPM
Stage 2:
- 160/100BP
- 150/95 BP
Severe: 180/120
4
Q
Treatment for hypertension
A
ABCD ARB ACEI- ramipril Beta Blocker - bisoprolol CCB- amlodipine thiazide- type Diuretic -indapamide ARB - candesartan
5
Q
What to use in pregnancy?
A
Methyldopa
6
Q
Stages of management?
A
1- ACEi- if under 55 and non black. If over 55 and black use CCB
2- Add CCB. If over 55/black use ARB
3- A+C+ Thiazide type diuretic
4 A +C + D + D
7
Q
What to use for resistant hypertension?
A
Spironolactone- acts on RAAS- increases the excretion of sodium and the reabsorption of potassium
8
Q
What do you need to monitor?
A
U&Es
risk of hyperkalemia with Spironolactone and ACEI
9
Q
Investigations
A
BP
RAAS ratio- decreased potassium, increased sodium
Screen for end organ damage
