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36 Cards in this Set
- Front
- Back
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What are the drugs of choice for someone with migraines and HTN?
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Beta blockers
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What are the drugs of choice for someone with previous MI and HTN?
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Beta blockers or
ACEI |
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What are the drugs of choice for someone with heart failure and HTN?
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ACEI or Beta blockers
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What are the drugs of choice for someone with no structural heart disease and at risk for HF?
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ACEI
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Would you use Metroprolol with HF?
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Yes
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Why would you use Metroprolol for HF?
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Start out at low dose and slowly increase it to prevent remodeling. It is a negative inotrope but paradoxically helps with HF
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If a patient is in the ER with pulmonary edema and HF what would you do?
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Give loop to decrease preload and decrease fluid in lungs.
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What is the MOA in HF?
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Dilate veins to decrease preload.
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If you use a loop diuretic to treat HF, what effect would it have on CO? Why?
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None really. On a healthy heart it will decrease CO, but d/t Frank Starling curve in HF it is flat.
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A stabilized patient with HF is going on home on what drugs?
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Beta blockers
Diuretic to prevent future edema |
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Why is eplerenone used with HF?
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it is an aldosterone blocker --> prevents remodeling d/t too much aldosterone
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What is the biggest SE of eplerenone?
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hyperkalemia
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What is the biggest problem with hyperkalemia?
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Arrythmias
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A patient is in the hospital with HF on loops and NTG but they didnt help enough, what can you give them?
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Postitive inotropic drug--dont use DIGOXIN
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What can you use in a patietn with stage D HF?
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Milrinone
Dobutamine Dopamine |
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A patient with HF taking beta blockers and a loop, but they have a history of angioedema, what do you use?
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ARB
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When would you use hydrazaline and isosorbide dinitrate in HF patients?
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When they cant tolerate ACEI or ARBs due to pregnancy or bilateral renal artery stenosis (RAS)
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What are the drugs of choice for someone with HTN and asthma?
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Thiazide
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Why use beta blockers with HTN and MI?
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decrease mortality
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What is high blood pressure?
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>140/90
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What is the goal of BP in a diabetic?
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Below 130/80
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What is the biggest SE of nifedipine?
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Reflex tachycardia
Swelling |
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What is the best diuretic to treat liver disease and ascites?
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aldosterone antagonist (spironolactone)
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What are the drugs of choice for someone with HTN and pregnant?
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Methyldopa
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Is clonidine an agonist or antagonist?
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alpha 2 agonist
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Which drugs can you use to treat hypercalcemia?
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Loop--urgent
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Would you use vasopressin for nephrogenic diabetes insipidous?
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No, you use thiazides and fluid.
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What would you use for central diabetes insipidous?
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Desmopressin because it is more V2 selective.
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If a child is taking desmopressin for bedwetting and wakes up with a seizure--what is going on?
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Drank too much at bedtime --> hyponatremia --> seizure
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If a person has gout, HTN, bilateral RAS, and a HR of 50 bpm, what do you give them?
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DHP Ca channel blocker
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What effect does ACEI have on CO and HR in treatment of HTN?
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minimal
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What can cause you to switch from an ACEI to an ARB?
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cough and angioedema
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Would you use an ACEI with HTN and COPD?
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Yes, but not 1st choice
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If a patient has a crushing injury and a problem with the kidneys and you need to alkaline the urine, how would you do this?
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Carbonic anhydrase inhibitors (CAI)
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How do you get loss of K with loop diuretics?
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in the collecting duct --> Na for K
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If you have increased TG, normal LDL, and low HDL--what would you use?
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Niacin or fibric acid derivative
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