special considerations of htn3 Flashcards
what is the term for widening of the aorta during HTN crisis
aortic dissection
what are the two types of aortic dissections?
which is most dangerous?
type A - more dangerous and more common
type B - a little lower down system
what are the drugs of choice controlling HTN in pregnancy?
- labetalol
- methyldopa
- CCB’s
what drugs should be avoided in pregnancy
- ACE
- ARB
- Aldosterone Antagonist
- Aliskiren
what are 3 types of HTN in pregnancy?
- essential - idiopathic
- secondary
- pregnancy induce
what is the term for high BP prior to pregnancy or diagnosed before the 20th week of gestation
chronic HTN (either essential HTN or secondary HTN)
wht is increased BP during pregnancy with proteinuria after 20 weeks of gestation
pre-eclampsia
what is the danger of eclampsia
can develop seizures and/or coma
what is the best treatment to manage HTN in pregnancy?
deliver the baby (if possible)
what is another definitive treatment of HTN in pregnancy if delivery is not possible
bed rest, restricted activity and close monitoring
what system should be avoided in drug therapy of HTN in pregnancy?
drugs that effect RAA system
what is considered HTN crisis BP in pregnancy
systolic = 155 diastolic = 105
what is main goal in treating HTN crisis in pregnancy
minimize risk to mother and avoid harm to fetus
what is the most common reason for children to have HTN
renal disease
what drugs should be used with caution in children? why?
ACE/ARB - if sexually active
BB - initially cause fatigue and decrease activity
