Hypertension Case Studies - Malcom Flashcards Preview

M2 Cardiovascular > Hypertension Case Studies - Malcom > Flashcards

Flashcards in Hypertension Case Studies - Malcom Deck (5):
1

When not contraindicated, what is often the first line pharmacological treatment of EH?

A thiazide diuretic, such as hydrochlorothiazide (HCTZ.)

2

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.

3

What medication is often infused to lower BP during a hypertensive crisis?

During a hypertensive crisis, how quickly should blood pressure be lowered?

Nitroprusside

Quickly but not TOO quickly. Titrate the drug over a few minutes - don't inject it all at once.

4

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.

5

What drug can be given specifically to African American pts with CHF?

Isosorbide dinitrate / hydralazine combo.