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22 Cards in this Set

  • Front
  • Back
Neumonic for Risk factors for MAJOR CVD?
FAM SHOP @ DD

Family shops at discount department stores
With htn, what do you start with?
Lifestyle modifications
Goals for BP?
Under 140/90 or
Under 130/80 for DM or Kidney dx
Stage 1 Htn?
Stage I
SBP 140-159 or DBP 90-99
Major CHD risk factors (OTHER THAN LDL)?
HALFS

H htn (BP ≧140/90; on htn meds)
A age(men≧45 yrs; women≧ 55)
L Low HDL cholesterol
F fam h/o 1st degree male relative<65, female>55 yrs)
S smoking

+ LDL

HDL cholesterol ≧ 60 mg/dl counts as a neg risk factor; it's presence removes one risk factor from the total count.
Stage 1 Htn?
Meds w/o compelling indications?
Thiazide type diuretics for most
May consider
ACEI
ARB
BB
CCB as combo with thiazide
Name the risk factors for Major CVD?
FAM SHOP @ DD

1 F family premature CVD men <55, women <65
2 A age men >55, women >65
3 M microalbuminuria GFR<60
4 S smoking
5 H htn
6 O obesity
7 P physical inactivity
8 D dm
9 D dyslipidemia
Stage 2 Htn?
SBP over or equal to 160
DBP over or equal to 100
Stage 2 Htn Meds w/o compelling indications?
2 drug comination for most
Usually thiazide type diuretic and ACEI, ARB, BB, CCB.
Compelling indications?
1 HF
2 MI
3 RI
4 CVA
5 High CAD risk
6 DM
BP=?
BP= HRx SVx PVR
Diuretics affect what part of BP?
Examples?
MOA?
lower PVR
Thiazides, HCTZ, chlorthalidone
MOA: low volume Na depletion that leads to PVR reduction
Beta adrenergic antagonists affect?
examples?
MOA?
decrease HR and SV
don't do anything to PVR
-lol
Metoprolol, atenolol, propranolol
MOA: block adrenergic B1 receptor sites, blunt catecholamine response;
non cardioselective also block B2 receptor sites
Alpha- beta adrenergic antagonists affect?
examples?
MOA?
Decreases HR, SV, PVR
-lol
Carvedilol, labetalol
Block adrenergic B1, B2, alpha1 receptor sites, blunt catecholamine response
ACE I affects what part of BP?
examples?
MOA?
decreases PVR
-pril
Lisinopril
Enalapril
weakens Angiotesin II by minimizing its production
Direct renin inhibitors affect?
examples?
MOA?
decreases PVR
Tekturna
decreased plasma renin activity and inhibits the conversion of angiotensinogen to angiotensin I with end result less Ag II production
CCB affects what part of BP?
examples?
MOA?
decrease PVR
-ipine (DHP) amlodipine, felodipine
Non DHP are Cardizem, verapamil
MOA: vasodilation
Aldosterone Antagonist affects what part of BP?
examples?
MOA?
decrease PVR
Spironolactone, eperenone
MOA: blocks effects of aldosterone therefore better regulating Na and H2O
Alpha adrenergic antagonist affect what part of BP?
examples?
MOA?
decrease PVR
Terazosin doxazosin
MOA: vasodilation
Centrally acting agents affects what part of BP?
examples?
MOA?
decrease PVR
Clonidine Methyldopa
MOA: works at brain BP control center
Direct vasodilators affect what part of BP?
examples?
MOA?
decrease PVR
Hydralazine, minoxidil
MOA peripheral vasodilation throigh a direct relaxation of vascular smooth muscle
ARB affects what part of BP?
examples?
MOA?
reduces PVR
-sartan
Losartan, telmisartan
blocks action of angiotensin 2
DON'T USE IN PREG