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22 Cards in this Set

  • Front
  • Back
first line agent for treating hypertension
thiazides
3 meds for treating hypertension in pregnancy
alpha methyldopa, hydralazine, labetalol
what constitutes a hypertensive emergency and how do you treat it?
BP >200/120
treat with nitroprusside, nitroglycerin, or beta blocker
MOA of nitroprusside vs nitroglycerin
nitroprusside dilates arteries and veins, nitroglycerin is a venodilator (other meds ie hydralazine, alpha 1 agonists, CCB are arterial dilators). Arterial dilators reduce afterload, venodilators reduce preload.
2 most common causes of secondary HTN
1. birth control pill
2. Renovascular HTN due to fibrous dysplasia- ook for renal bruit, do CT or MRa
Dx of Conn's syndrome
high aldosterone, low renin. Aldosterone is a steroid released from the adrenal cortex which acts on the DCT to reabsorb Na and release K.
Chronic renal insufficiency, with low aldosterone is also known as what condition?
Addison's disease
Secondary causes of HTN: name 6
Conn's syndrome, Pheochromocytoma, Cushing's syndrome, PCKD, renovascular hypertension, aortic coarctation
Diagnosis of Diabetes
symptoms: polydypsia, polyphagia, polyuria, weight loss
Fasting plasma glucose >126 mg/dL or random glucose >200
Goal of treatment in treating Diabetes
postprandial blood glucose <180-200
fasting glucose <130
hA1c < 7%
first line agent for treating hypertension
thiazides
3 meds for treating hypertension in pregnancy
alpha methyldopa, hydralazine, labetalol
what constitutes a hypertensive emergency and how do you treat it?
BP >200/120
treat with nitroprusside, nitroglycerin, or beta blocker
MOA of nitroprusside vs nitroglycerin
nitroprusside dilates arteries and veins, nitroglycerin is a venodilator (other meds ie hydralazine, alpha 1 agonists, CCB are arterial dilators). Arterial dilators reduce afterload, venodilators reduce preload.
2 most common causes of secondary HTN
1. birth control pill
2. Renovascular HTN due to fibrous dysplasia- ook for renal bruit, do CT or MRa
Dx of Conn's syndrome
high aldosterone, low renin. Aldosterone is a steroid released from the adrenal cortex which acts on the DCT to reabsorb Na and release K.
Chronic renal insufficiency, with low aldosterone is also known as what condition?
Addison's disease
Secondary causes of HTN: name 6
Conn's syndrome, Pheochromocytoma, Cushing's syndrome, PCKD, renovascular hypertension, aortic coarctation
Diagnosis of Diabetes
symptoms: polydypsia, polyphagia, polyuria, weight loss
Fasting plasma glucose >126 mg/dL or random glucose >200
Goal of treatment in treating Diabetes
postprandial blood glucose <180-200
fasting glucose <130
hA1c < 7%
diagnosis and treatment of diabetic ketoacidosis? (seen with T1DM)
hyperglycemia, hyperketonemia, metabolic acidosis. Treatment with fluids, IV regular insulin, K and phosphorous replacement
non ketotic hyperglycemic hyperosmolar state diagnosis and tx? (seen with T2DM, higher mortality)
hyperglycemia, hyperosmolarity without ketonemia. Treat with IV fluids, IV insulin and electrolyte replacement.