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PHRM 844 > Hypertensive Criss > Flashcards

Hypertensive Criss Flashcards

1
Q

blood pressure crisis

A

180/120

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2
Q

biggest cause of hypertensive crisis

A

medication non adherence

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3
Q

goals of hypertensive emergency by hour

A

hour 1: reduce max 25%
hour 2-6: reduce < 160/100-110
hour 6-48: reduce BP to goal

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4
Q

why should BP be lowered gradually?

A

autoregulation of cerebral flow

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5
Q

DHP calcium channel blockers

A

nicardipine and clevidipine

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6
Q

nicardipine contraindication

A

aortic stenosis

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7
Q

clevidipine contraindications

A

aortic stenosis, soy/egg allergy

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8
Q

clevidipine side effects

A

atrial fib, elevates triglycerides

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9
Q

vasodilators

A

nitroglycerin, sodium nitroprusside, hydralazine

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10
Q

nitroglycerin and sodium nitroprusside side effects

A

tolerance with 24-48 hour use max, PDE5 interaction, headache and reflex tachycardia, cyanide tox (prusside)

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11
Q

hydralazine side effects

A

IV push, not titratable, used in pts with bradycardia

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12
Q

beta blockers drugs

A

labetalol, esmolol

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13
Q

labetalol contraindicatons

A

severe bradycardia, reactive airway disease

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14
Q

esmolol pearls

A

cardioselective (tolerated in reactive airway disease), adjunct only!

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15
Q

enalaprilat pearls

A

IV push! CI in AKI, hyperkalemia, MI, artery senosis

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16
Q

clonidine use

A

PO option maybe in clinic setting or no IV access, can cause hypertensive withdrawal

17
Q

which med has egg/soy allergy

A

clevidipine

18
Q

which is not titratable infusion?

A

hydralazine, enalaprilat, clonidine

19
Q

acute decompensated HF with pulmonary edema

A

nitroglycerin/sodium nitroprusside
AVOID: beta blockers and non-DHP CCBs

20
Q

aortic dissection

A

beta blocker then vasodilator (nicardipine,clevidipine,nitroprusside)

21
Q

acute coronary syndrome

A

beta blocker, nitroglycerin, nicardipine, sodium nitroprusside

22
Q

reduced ejection fraction avoid what drug?

A

beta blockers

23
Q

AKI

A

dont use enalaprilat or sodium nitroprusside

24
Q

eclampsia/severe preeclampsia

A

labetalol, hydralazine, nicardipine

25
Q

stroke

A

nicardipine, clevidipine, labetabolol

PHRM 844 (16 decks)

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