Shared Flashcard Set

Details

Case 8
fam med cases
14
Medical
Graduate
01/25/2011

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Cards

Term
HTN dx
Definition
BP >140/90. 2 elevated measurements 5 min apart on 2 or more visists
Term
HTN screening
Definition
everyone over age 18
Term
Secondary causes of HTN
Definition
sleep apnea,
chronic renal disease, renovascular causes, drug-induced causes,
pheochromocytoma, primary aldosteronism, chronic steroid use, Cushing‘s
syndrome, thyroid and parathyroid disease, and coarctation of the aorta.
Term
PreHTN vs Stage1 vs Stage 2 (BP ranges, rx)
Definition
normal <120/<80, lifestyle
preHTN 120-139/80-89, lifestyle
Stage1 140-159/90-99, thiazide or ACEi mono therapy
Stage 2 >160/>100, Combo therapy
Term
Studies for new HTN dx
Definition
ECG, urinalysis, blood glucose, CBC, serum K, serum Cr, fasting Lipids, albumin/creatinine ratio, serum Ca
Term
HTN goals
Definition
<140/90, <130/80 w diabetes or renal failure
Term
HTN Lifestyle Modifications
Definition
Weight reduction, DASH diet (lots of fruit and veggies), sodium reduction, physical activity, moderation of alcohol
Term
Thiazide Side fx
Definition
hyponatremia, gout flares; dose >25mg doesnt help anymore
Term
Special Considerations for initial HTN therapy
Definition
post MI: beta blockers, ACEi, ald antags
CAD: thiazides, beta blockers, ACEi, ca channel blockers
Chronic Kidney Disease: ACEi, ARBs
Diabetes: ACEi, thiazides, beta blockers, etc
Recurrent stroke prevention, Thiazides, ACEi
Term
African Americans demonstrate somewhat _____ blood pressure responses to monotherapy with BBs, ACE inhibitors, or ARBs compared to diuretics or CCBs.
Definition
reduced
Term
Resistant HTN
Definition
resistant to 3 drug regiment that includes diuretic
Term
ATP III dyslipidemia therapy (LDL goals; high risk<100, intermed risk<130, Low risk <160)
Definition
1) Identify CHD risk equivalents (clinical CHD, symp. carotid artery disease, PAD, abd aortic aneurysm, diabetes)
2. Major Risk Factors (smoking, HTN, low HDL, fam hx of premature CHD (<55m,<65f), Age (m>45, f>55). HDL>60 is neg risk factor
3) If 2 or more risk factors, assess framingham risk
4) 0-1 risk factors-->automatically low risk category
Term
Major CHD risk factors
Definition
5 total
Smoking, HTN, Fam Hx (premature CHD <55m, <65w), age (>45m, >55w), Low HDL (HDL>60 is neg risk)
Term
CHD risk equivalents
Definition
5 total:
CHD, Diabetes, abd aortic aneurysm, sympt carotid disease, PAD
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