MDT Flashcards
1
Q
Stage 1 hypertension
A
130-139 / 80-89
2
Q
Stage 2 hypertension
A
140+ / 90+
3
Q
Hypertension treatment?
A
- Lifestyle change
- Diuretic (HCTZ)
- ACEi
- ARBs
- CCB
4
Q
Hypertensive Urgency S/S?
A
220+ / 125+
NO signs of end organ damage
5
Q
Hypertension
LABS/RADS/TESTS/EXAM
A
- UA for proteinuria, hematuria
- Fasting Glucose
- CBC
- TSH
- Lipid panel
- EKG
- Calculate 10 year atherosclerotic cardiovascular disease
6
Q
Hypertension TX?
A
- Lifestyle Mod
- Diuretic ( HCTZ )
- ACEi ( Lisonopril )
- ARBs ( Losartan )
- CCB ( Diltizem )
7
Q
Hypertensive Urgency
LABS/RADS/TESTS/EXAM
A
- UA for proteinuria, hematuria
- Comprehensive Metabolic panel looking for renal/liver dysfunction
- Troponins looking for signs of myocardial injury
- EKG looking for signs of AMI
- CXR looking for widened mediastinum or pulmonary edema
- CT head or aorta
8
Q
Hypertensive Urgency TX?
A
- Lower DBP < 110 over 24 hours
- Beta Blocker ( Atenolol, Metoprolol, Labetalol )
9
Q
Hypertensive Emergency S/S
A
Signs Of End Organ Damage
10
Q
What are signs of End Organ Damage?
A
- mental status change
- confusion
- HA
- intracranial hemorrhage
- ischemic stroke
- proteinuria
- hematuria
- progressive kidney dysfunction
- unstable angina
- AMI
- CHF
- Aortic Dissection
- Pulmonary edema
11
Q
Hypertensive Emergency
LABS/RADS/TESTS/EXAM
A
- UA for proteinuria, hematuria
- Comprehensive Metabolic panel looking for renal/liver dysfunction
- Troponins looking for signs of myocardial injury
- EKG looking for signs of AMI
- CXR looking for widened mediastinum or pulmonary edema
- CT head or aorta
12
Q
Hypertensive Emergency TX?
A
- IV
- O2 if sat is below 94%
- Monitor with telemetry
- Labetalol 20mg IV
- Once stable start Metoprolol
