Flashcards in Hypertension Case Studies - Malcom Deck (5):
When not contraindicated, what is often the first line pharmacological treatment of EH?
A thiazide diuretic, such as hydrochlorothiazide (HCTZ.)
After a hypersensitivity reaction to an ACE inhibitor, can another ACEI be prescribed instead? What about an ARB?
No and no. Other ACEIs and all ARBs are contraindicated once a pt has a hypersensitivity rxn to an ACEI.
What medication is often infused to lower BP during a hypertensive crisis?
During a hypertensive crisis, how quickly should blood pressure be lowered?
Quickly but not TOO quickly. Titrate the drug over a few minutes - don't inject it all at once.
What serious side effect is possible with nitroprusside treatment?
How can this side effect be treated?
Cyanide poisoning (cyanide is a metabolic breakdown product of the drug)
Cease nitroprusside therapy, treat with sodium thiocyanate to metabolize the cyanide. Follow up with close observation.