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24 Cards in this Set
- Front
- Back
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BP Classifications:
list SBP & DBP for each of the following a. Normal b. pre-HTN c. stage 1 d. stage 2 |
a. normal SBP <120 DBP <80
b. preHTN SBP 120-139 DBP 80-89 c. stage 1 SBP 140-159 DBP 90-99 d. stage 2 SBP > or = 160 DBP > or = 100 |
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Classify the following BPs:
1. 150/80 2. 120/90 3. 110/70 4. 150/120 a. normal b. pre-HTN c. stage 1 d. stage 2 |
c 1. 150/80
c 2. 120/90 a 3. 110/70 d 4. 150/120 |
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AHA TX goals:
1. most PTs 2. DM, CKD, CAD, CVA/TIA, PAD, AAA, framingham >10% 3. left ventricular dysfx, HF |
1. most PTs <140/90
2. DM, CKD, CAD, CVA/TIA, PAD, AAA, framingham >10% <130/80 3. left ventricular dysfx, HF <120/80 |
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Matching appropriate goal for the following PTs
1. 50 yo man with stroke Hx 2. 30 yo diabetic man 3. 75 yo man suffering from CHF 4. 45 yo healthy woman a. <140/90 b. <130/80 c. <120/80 d. <160/100 |
b 1. 50 yo man with stroke Hx
b 2. 30 yo diabetic man c 3. 75 yo man suffering from CHF a 4. 45 yo healthy woman a. <140/90 b. <130/80 c. <120/80 d. <160/100 |
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which guidelines are preferred JNC 7 or AHA?
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AHA >> JNC 7
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T/F There are minimal benefits to adding more lifestyle changes. Doing a couple is good for you, but doing all of them isn't really better for you.
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False.
The more lifestyle modifications you make the more your BP will decline. |
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List lifestyle modifications & their respective BP reduction (5)
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1. wt reduction (BMI 18.5-24.9) 5-20mmHg
2. DASH diet 8-14mmHg 3. Na restriction (< or = 100mmol/day) 2-8mmHg 4. exercise (at least 30 min/day most days of the wk) 4-9mmHg 5. moderate alcohol consumption (men < or = 2 drinks/d, women < or = 1 drink/day) 2-4mmHg |
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1. which class of drugs can mask hypoglycemia?
2. who is this a concern for? a. diuretic b. B blocker c. CCB d. ACE e. ARB |
b. B blocker
b 1. which class of drugs can mask hypoglycemia? diabetics 2. who is this a concern for? |
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Recommended Tx for:
1. primary prevention 2. CKD 3. CAD 4. left ventricular dysfx 5. prior stroke/TIA a. diuretic b. B blocker c. ACE-I d. ARB e. CCB f. other |
a c d e 1. primary prevention
c d 2. CKD b c d > a > e 3. CAD a b c d e f (antialdosterone, H + ISDN) 4. left ventricular dysfx a c d > e 5. prior stroke/TIA c d > a > b e 6. DM a. diuretic b. B blocker c. ACE-I d. ARB e. CCB f. other |
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Best Tx for:
1. DM 2. TIA 3. Stage 1 HTN 4. CAD 5. HF 6. CKD a. HCTZ b. atenolol c. lisinopril d. valsartan e. nifedipine f. spironolactone g. all the above |
c d 1. DM
a c d 2. TIA a c d e 3. Stage 1 HTN b c d 4. CAD a b c d f 5. HF c d 6. CKD |
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What 3 elytes do you have to monitor when taking TZDs?
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1. Na
2. Mg 3. K 3 elytes you have to monitor when taking TZDs |
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which is more effective?
a. HCTZ 15mg b. HCTZ 25mg c. HCTZ 50mg d. all are the same |
b. HCTZ 25mg
doses >25mg are not more effective |
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which is/are renoprotective?
a. TZD b. B blocker c. ACE-I d. ARB e. CCB f. 2 of the above g. none of the above |
f. 2 of the above
c. ACE-I d. ARB are renoprotective |
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If a PT experiences cough on ACE-I, is it ok to switch to ARB?
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No may have same cough
If a PT experiences cough on ACE-I, is it ok to switch to ARB? |
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What are common SE of ACE-I/ARBs?
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1. hyperkalemia
2. angioedema 3. cough common SE of ACE-I/ARBs |
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1. what are common SE of DHP CCBs?
2. what is a common SE of non-DHP CCB? |
1. peripheral edema & HA
common SE of DHP CCB 2. constipation common SE of non-DHP CCB |
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Matching:
a. DHP CCB b. non-DHP CCB 1. verapamil 2. nifedipine 3. diltiazem 4. clevidipine |
b 1. verapamil
a 2. nifedipine b 3. diltiazem a 4. clevidipine |
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non/DHP CCB should be avoided in HF
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non-DHP should be avoided in HF
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non/cardioselective B blockers effect HR > BP
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cardioselective B blockers effect HR > BP
non cardioselective B blockers effects BP more |
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common SE of alpha blocker?
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postural hypotension
common SE of alpha blocker |
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what is a 1st line anti HTN agent for pregnant women?
a. atenolol b. methyldopa c. HCTZ d. lisinopril |
b. methyldopa
is cat B --> 1st line anti HTN agent for pregnant women ACE-1 & ARBs are usually cat C & D |
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to avoid postural hypotension, what should you counsel your patients?
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stand up slowly
to avoid postural hypotension w/ alpha blockers |
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Michael Scofield has no previous medical Hx. Sarah records Michael's BP as 135/90. Classify his BP.
a. normal b. pre-HTN c. stage 1 d. stage 2 e. none of the above |
e. none of the above
not enough info. must take the avg of 2 readings on diff days! but 135/90 is stage 1 Michael Scofield has no previous medical Hx. Sarah records Michael's BP as 135/90. |
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at what stage is a combo necessary?
a. pre-HTN b. stage 1 c. stage 2 d. whenever BP is not being maintained well e. 2 of the above |
e. 2 of the above
c. stage 2 d. whenever BP is not being maintained well at what stage is a combo necessary? |
