Textbook Questions

Question 1

Thiazide Diuretics

Answer 1

the initial drug treatment for hypertension in patients without compelling indications for alternative drug treatment

Question 2

Is it appropriate to combine two thiazide or two beta-blocking drugs to successfully treat hypertension

Answer 2

no. It’s ok to combine things that lower BP by different mechanisms, but not many of the same

Question 3

Which class of anti-HTN meds work best for black patients?

Answer 3

Diuretics.

Question 4

What comorbid conditions require careful use/avoidance of anti-HTN drugs?

Answer 4

hyper/pokalemia, diabetes, depression, renal insufficiency, dyslipidemia, gout, collagen diseases, liver disease, AV heart block, heart failure, preeclampsia

Question 5

Algorithm for treating HTN

Answer 5

1. diet/lifestyle changes
2. diuretics
3. beta antagonists
4. alpha antagonists
5. Alpha2 agonists
6. Vasodilators
7. Ace inhibitors

Question 6

General principles for use of anti-dysrrhythmic drugs

Answer 6

They are dangerous because they change the electric/contractile activity of the heart.

Question 7

Contraindications for antiplatelet/thrombolytic drugs

Answer 7

bleeding, internal bleeding. assess mental status. BP, heart rate, mucous membranes, HTN, ischemic stroke history

Question 8

Vytorin

Answer 8

ezetimibe and simvastatin
simvastatin is a an HMG-CoA reductase inhibitor.
ezetimibe is a selective inhibitor of intestinal cholesterol