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23 Cards in this Set

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What is the BP limit for Malignant HTN?

Difference b/t HTN Urgency vs Emergency?
Systolic >210 or diastolic >110

Hypertensive URGENCY:
WITHOUT evidence of end-organ damage

Hypertensive EMERGENCY:
Severe HTN w/ evidence of end-organ damage (encephalopathy, renal failure, CHF, etc)
what is important to remember about treating a hypertensive emergency?

What meds can be given for Tx? (3 possible)
Do NOT lower BP by more then 1/4 at first, or patient can have a stroke

Meds:
IV drip w/
1. Nitroprusside
2. Nitroglyerin
3. Beta-blocker
DOC for HTN w/o any comorbid dz
Thiazide
DOC for HTN w/ CHF

(choice of 3)
1. ACEI / ARBs

2. B-blocker

3. Spirolactone (K-sparing)
DOC for HTN w/ MI

(2 together)
B-blocker + ACEI
None
DOC for HTN w/ osteoporosis
Thiazide (dec. calcium excretion)
DOC for HTN w/ BPH
Terazosin (Alpha-blocker)
DOC for HTN w/ pregnancy
alpha-methyldopa
(3) contraindications for Beta-blockers
1. COPD

2. Diabetes

3. HyperK
(3) contraindications for ACEI
1. Pregnancy

2. Renal artery stenosis

3. Renal Failure (creatinine >1.5)
contraindication of all diuretics
Gout
(2) hypersteroidism syndromes that cause HTN w/ hyperK
Cushing's

Conn's
endocrine system abnormality that can lead to HTN due to episiodic autonomic bursts of epinepherine
Pheochomocytoma
congenital cause of HTN that leads to HTN in arms and low BP in legs
Coartation of the Aorta
renal artery stenosis that causes HTN in:
1) older men
2) younger women
1) Atherosclerosis

2) Fibromuscular dysplasia
Dx:
valvular problem that causes HTN w/ a wide PP

Physiologic cause?
Aortic Regurg

cause: Inc SV
None
Dx:
congenital problem that causes HTN w/ a wide PP

Physiologic cause for HTN?
Patent Ductus Arteriosus

cause: Inc SV
None
(3) drug classes that cause HTN

What metal poisoning?
makes vessels like COAL:

Corticosteroids
Oral contraceptives
Amphetamines

Lead poisoning
(5) deadly causes of chest pain
TAPUM:
Tension pneumothorax
Aortic Dissection
PE
Unstable Angina
MI
how is the maximum HR determined?
220-patient's age = Max HR
heart medication that can cause cyanide toxicity
Nitroprusside
First Rx Tx for Hypertensive emergency due to pheochromocytoma
Phentolamine
(2) possible Tx for a preclampsia-related hypertensive emergency
Hydralazine or Magnesium