Chapter 2- Hypertension Flashcards

1
Q

How do we diagnose hypertension?

A

ABPM - over a 24hour period. 2 readings taken per hour (during persons usual waking hours)

HBPM - 2 readings per day for ideally 7 days - with 2 consecutive readings 1minute apart at any one time. Discard reading of first day.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the common side effects of ACEIs?

A

X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the ‘normal’ target blood pressure (i.e in patients without hypertension)?

A

120/80mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the target blood pressure for diabetics?

A

clinic 140/80mmHg; home 135/80mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the target blood pressure for the elderly (>80yo)?

A

clinic < 150/90mmHg; home 145/85mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the general recommended target blood pressure for those diagnosed with hypertension?

A

clinic <140/90mmHg; home 135/85mmHg - NICE recommends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

For patients with hypertension and established CVD, diabetes in the presence of kidney, eye or cerebrovascular disease, what is the target blood pressure?

A

<130/80mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the HTN guidelines for under < 55yo?

A

Step 1: ACEI (if not tolerated ARB)
Step 2: ACEI + CCB
Step 3: ACEI + CCB+ thiazide like diuretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In patients with heart failure or at high risk of heart failure and uncontrolled HTN what should be given for the control of their HTN?

A

Thiazide-like diuretic

In patients who are <55yo who have been taking an ACEI/ARB, rather than adding on a CCB to their therapy, thiazide like diuretic should be used instead

Patients >55yo with newly diagnosed HTN and have heart failure or high risk of heart failure should be started on a thiazide like diuretic instead of a CCB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What should target blood pressure be during pregnancy?

A

150/100mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should target blood pressure be after birth?

A

140/90mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long after birth should long term HTN meds be reviewed?

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which drugs are used for the control of HTN in pregnancy?

A

Labetalol, methyldopa, MR Nifedipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which HTN out of three indicated for use in pregnancy, should be avoided in the first trimester?

A

Labetalol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which drug is indicated for the control of HTN in the first trimester?

A

Methyldopa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly