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10 Cards in this Set
- Front
- Back
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What defines refractory HTN |
HTN not controlled on at least 5 or more medications |
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Causes of secondary HTN |
Hyperthyroid
Hyperaldo Hypercalcemia Aortic coarctation Renal artery stenosis Pheochromocytoma Cushing's syndrome OSA |
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HTN dx |
2 BP readings at least 5 minutes apart. 120-139/80-89 is preHTN 140-160/90-100 is Stage 1 HTN >160/>100 is Stage 2 HTN |
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First line med for HTN in any DM pt |
ACE inhibitor (Lisinopril) |
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First line med for HTN in AA pt |
Stage 1: may choose between CC blocker (Amlodipine) and HCTZ Stage 2: Start Amlodipine and HCTZ together If third med needed, use ACE inhibitor |
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When should you not use a BBlocker |
with pts with COPD or asthma d/t SE of bronchospasm |
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HTN drug during pregnancy |
Methyldopa Do not use ACEs or ARBs |
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difference between HTN urgency and emergency |
HTN urgency: High BP, but not sx HTN emergency: High BP with corresponding sx (papilledema, HA, CHF, renal failure, chest pain) |
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SE of ACEs |
increase K, angioedema, cough |
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SE of CC blockers |
peripheral edema |
