MDT Flashcards

1
Q

Stage 1 hypertension

A

130-139 / 80-89

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2
Q

Stage 2 hypertension

A

140+ / 90+

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3
Q

Hypertension treatment?

A
  • Lifestyle change
  • Diuretic (HCTZ)
  • ACEi
  • ARBs
  • CCB
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4
Q

Hypertensive Urgency S/S?

A

220+ / 125+

NO signs of end organ damage

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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
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6
Q

Hypertension TX?

A
  • Lifestyle Mod
  • Diuretic ( HCTZ )
  • ACEi ( Lisonopril )
  • ARBs ( Losartan )
  • CCB ( Diltizem )
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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
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8
Q

Hypertensive Urgency TX?

A
  • Lower DBP < 110 over 24 hours

- Beta Blocker ( Atenolol, Metoprolol, Labetalol )

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9
Q

Hypertensive Emergency S/S

A

Signs Of End Organ Damage

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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
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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
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12
Q

Hypertensive Emergency TX?

A
  • IV
  • O2 if sat is below 94%
  • Monitor with telemetry
  • Labetalol 20mg IV
  • Once stable start Metoprolol
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