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Details

2-HTN Guidelines
HTN2
27
Biochemistry
Graduate
10/22/2017

Additional Biochemistry Flashcards

 


 

Cards

Term
CV RISK CONTRIBUTIONS
HDL............TG
GLUCOSE.......Waist Circ
BP
Definition
3 of 5 of the following
HDL <40M/<50F.......TG>150>mg/dl
GLUCOSE>100mg/dl......Waist Circ >35M/>30F
BP>130/85mmHg
Term
Stage 1 requires ___drug(s)
Stage 2 requires ___Drug(s)
Definition
Stage 1 requires _1__drug(s)
Stage 2 requires _2__Drug(s)
Term
60 yrs and older GOAL BP in HTN
Definition
<150/<90
Term
<140/<90 GOAL in 60-80 yrs old when
Definition
-CV risk high (fam Hx, or documented CAD)
-Stiffness signs
-Symptomatic (headache,dizziness)
Term
<60 yrs GOAL BP in HTN
Definition
<140/<90
(Same for CKD or diabetes >18yo)
Term
Weight loss =
Definition
big impact on reducing bp 5-20 mmHg
Term
non-Black pop Tx innitiation
Definition
ACEi/ARB
CCB
Thiazide
[Alone or in combo]
Term
Black pop Tx innitiation
Definition
Thiazide or CCB
or both
Term
Regardless of race, CKD pt >18yo
Tx innitiation or (add on)
Definition
ACEi or ARB
Term
1st line drugs for HTN = CAATs
Definition
ARB/ACEi
CCB
Thiazide Diuretics
Term
Natural Tx for HTN
Definition
COQ10
Garlic
Fish Oil
Vitamin D
Term
POPULATION CONTRAINDICATIONS
Thiazide Diuretics
Definition
Gout
Term
POPULATION CONTRAINDICATIONS
BBs
Definition
Asthma
A-V block
Term
POPULATION CONTRAINDICATIONS
NON-DHP CCBs
Definition
AV block
HF
Severe LV Dysfunction
Term
POPULATION CONTRAINDICATIONS
ACE inhibs/ARBs
Definition
Prego
Hyperkalemia
Bilateral renal stenosis
Term
Diabetes initial Tx WITHOUT ALbuminuria
BP 140-160/90-100
start 1 AGENT
Definition
ARB
ACEi
CCB
Thiazide Diuretics
Term
Diabetes initial Tx WITH ALbuminuria
BP 140-160/90-100
START 1 AGENT
Definition
ARB or ACEi
Term
Diabetes initial Tx WITHOU ALbuminuria
BP >160/100
START 2 AGENTs
Definition
ARB or ACEi
CCB
Thiazide Diuretics
Term
Diabetes initial Tx WITH ALbuminuria
BP >160/100
START 2 AGENTs
Definition
ACEi or ARB
&
CCB or DIURETIC
Term
Diabetes not meeting Target add agent...
still not meeting add MR antagonist(epleronone/spironolactone)
Definition
ARB/ACEi
CCB
Thiazide Diuretics
Term
FOLLOW UP REC for
<120/<80

120-139/80-89
Definition
<120/<80 2yr f/u

120-139/80-89 1 yr f/u
Term
FOLLOW UP REC for
140-159/90-99
Definition
Confirm w/in 2 months
Term
FOLLOW UP REC for
160-179/100-109
Definition
evaluate or refer for care w/ in 1 month
Term
FOLLOW UP REC for
>180/110
Definition
immediate then refer to care w/in 1 week based on clinical presentation
Term
Do not use ___ and ___ in the same pt
Definition
ACE and ARB
Term
If BP goal not reached w/ in 1 month of Tx
Definition
inc initial dose or add 2nd drug from
ACEi/ARB,CCB,Thiazide
Term
If BP goal not reached w/ 2 drugs
Definition
add and titrate a 3rd drug from the list provided
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