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17 Cards in this Set
- Front
- Back
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Systolic > 160 with Diastolic < 95
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Isolated Systolic HTN
Requires treatment also |
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Isolated systolic HTN has a higher risk of (than regular garden variety HTN)?
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Stroke
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Treatment of isolated systolic HTN should be started with?
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Nonpharmacologic (TLC) - avoid salts, activity
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In the tx of HTN, do not continue treatment if....?
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Do not continue tx if side effects of therapy persist despite attempt with multiple agents
- If you cannot control the orthostatics, you need to modify |
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What vital is imperative for hypertensive pts?
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Check Orthostatic BP!!
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When controlling HTN, how is the drug dosage altered after control is established?
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Attempt to reduce dose
- Kathy says never tell a pt they will be on drug for the rest of their life; many older adults don't need antihypertensives anymore |
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Aricept can cause?
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Bradycardia sufficient to cause syncope + orthostasis
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1st line therapy for treatment of HTN? What is the dose?
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Diuretic = 1st DOC
Usual HALF regular dose is place to start (HCTZ at 12.5; sometimes even 6.25) |
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HTN treatment if K+ < 3.5
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Reduce diuretic or stop it
Consider ACE inhibitor (hold diuretic for a few days + then add ACE) - this is good if they can tolerate it |
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HTN treatment if Creatinine > 1.3
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Need aggressive control
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When are thiazides no longer effective for HTN?
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Creatinine > 2
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What should be avoided if pt has Elevated glucose in HTN treatment?
What are the best agents to use instead? |
Avoid diuretics
Avoid BBs Best Agents = ACE, Alpha-Antagonists - If pt has high sugar, usually just go straight to ACE |
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What is a reversible cause of diastolic HTN?
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Hypothyroidism
CHECK THYROID - Serum TSH |
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What may protein indicate if found on urinalysis?
What is clearly indicated for HTN treatment in this case? |
Renal problems
ACE clearly indicated |
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When treating HTN, LVH on EKG indicates the need for ...?
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Aggressive therapy
DOC = BBs, Calcium Antagonists |
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What drugs for HTN tx should be avoided if there is a conduction abnormality?
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Avoid BBs and CCBs
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When treating HTN in elders, what disease must you remember to keep in mind?
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Don't forget RENAL ARTERY STENOSIS - altho rare, still more common in elders
WATCH FOR SIDE EFFECTS OF THERAPY - so be aware in a pt who is hard to control |
