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Flashcards in General HTN Deck (16)
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1

Initial monotherapy for: Non-black

THZD, ACEI, ARB, or CCB

2

Initial monotherapy for: Blacks

THZD or CCB

3

Initial monotherapy for: CKD, non-black or black

ACEI or ARB

4

Initial monotherapy for: DM, Non-black

ACEI or ARB

5

Initial monotherapy for: DM, black

THZD or CCB

6

Describe 4 therapeutic lifestyle measures you can tell your patient to do to help their HTN?

1. Dash Diet
- limit Na and ETOH
2. Exercise
3. Wt. loss
4. K+ supplementation (preferably through diet) - as long as no CKD / K+ retaining meds

7

Why is ACEI/ARB + Thiazide a "preferred combo"?

- ACEI/ARB improves diuretic-induced RAAS activation
- additive BP reduction
- outcomes data for reduction of CVA, HF, mortality, DM complications

8

Why is ACEI/ARB + DHP-CCB a "preferred combo"?

- ACEI/ARB improves CCB-induced edema and sympathetic stimulation
- additive BP reduction
- DHP-CCB outcome data primarily with Amlodipine

9

American Society of HTN Guideline:

Nonblack younger than 60yo

ACEI or ARB

10

American Society of HTN Guideline:

Nonblack older than 60yo

CCB, Thiazide, ACEI or ARB

11

American Society of HTN Guideline:

Pt w/CKD

ACE or ARB

12

American Society of HTN Guideline:

Pt w/CAD

Beta blocker and ARB or ACEI

13

American Society of HTN Guideline:

Pt w/DM

ARB or ACEI

(CCB or thiazide w/black pt)

14

American Society of HTN Guideline:

Pt w/HF

ARB or ACEI and beta blocker and spironolactone

15

American Society of HTN Guideline:

Pt w/h/o stroke

ACEI or ARB

16

Be able to recognize medications that induce HTN:

1. OCPs
2. Stimulants
3. Transplant meds
4. EPO
5. Corticosteroids
6. NSAIDs
7. Sympathomimetics
8. Neuropsychiatrics