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