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7 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are at least 4 examples of cardioselective betablockers?
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acebutolol
atenolol bisoprolol metoprolol |
Hitting the heart BAMA beta blockers
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JN is a 54 yo female with left ventricular hypertrophy. She is currently on ramipril 10mg QD and you see her BP is 150/90. NKA, no other meds, no other med cons. What is the most appropriate course of action? (what meds, if any do u add, and what meds do u avoid in this situation?)
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Add a CS BB (BAMA).
Can add thiazide or ARB combo. Target 140/80 mmHg No minoxidil or hydralazine. (W NTC) |
uncontrolled htn and LVH needs something NOT peripheral acting!
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AG is a 25 year old teacher. She tries to exercise regularly and is picking up her BCP today but her last BP at the pharmacy was 147/80mmHg. non-smoker. What do u do?
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Verfiy correct BP measurement: no caffeine within a couple of hours, exercise within the past 10 mins, crossing arms and legs,etc.
It's slightly high. But maybe she just had a coffee and has been walking around the pharmacy. Tell her to retake the measure. |
She's wondering if that's a normal BP/
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CS's checks his BP and it was 190/120mmHg while studying for pharmacology finals. He really isn't feeling well (dizzy, having trouble seeing, nausea, flushed) and calls you. What is the most appropriate action?
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Call an ambulance and get to the hospital. He may have hypertensive emergency (with evidence of end organ damage) or just hyptensive urgency (no end org damage). But he's experiencing symps so treat him in hosp.
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he's having trouble seeing.
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Luigi is born 1958 (50 yo) and is concerned about his heart health. His brother Mario suffered an MI when he was 58 yo and his mother passed away of kidney failure at 78 yo. Based on his family's history, is Luigi at risk as well?
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No, not from fam hx.
Fam mem Men <55 yo with CVD or Fam mem Women <65 yo with CVD or pt himself Man 45 yo+ or pt himself woman 55 yo+ |
10 year lead time.
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SP is 52 yo (born 1956) and is a family physician. Last BP 138/80mmHg. No other med cons, meds, and NKA. Her mother has HTN and DMII, and her father died of CVD, age unknown. Her BP was treated initally iwth HCTZ 25mg then was switched and titrated up to ramipril 10mg. Being Chinese, she develops a dry cough as predicted. She thinks Atacand (candesartan) is another appropriate choice when she next visits her physician. What is an appropr response?
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Yes, an ARB such as Atacand is good here. No other comorbidities.
She can pretty much try anything else tho if her cough continues with the ARB. CCBs, BBs, and if needed I guess minoxidil and hydralazine. |
what is the next line of therapy? what is the indication here?
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JF is pregnant with her second child and develops htn at 15 weeks. She was on a BP med but can't remember the name. What is the appropr action?
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1st line for Preg: methyldopa [Aldactone]
BB are Baby blockers. except CLOMPT. ok in 1st trimester but not in 3rd trimester. ACEI teratogenic. |
first line of ther for preg?
hyn before 20 weeks of preg? |
