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14 Cards in this Set
- Front
- Back
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What extra heart sound with chronic HTN? |
S4 |
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Why AM cortisol level? |
Rule out cushing's |
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Tx for asymptomatic |
Diet & Wt. loss then thiazides then ACEI Or ARB |
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JNC 8 Definition of HTN <60 |
>140/90 |
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JNC 8 Definition of HTN >60 |
>150/90 |
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JNC 8 recommendations if CKD or DM |
<140/90 |
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African American give? Med |
CCB |
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JNC8 Titration Rules |
Reasess 1 mo Increase dose or add second drug NO ACEI AND ARB If >3 drugs, refer |
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If hyperkalaemia, don't use which HTN meds? |
ACEI or ARB |
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Definition of HTN urgency |
>180/110 without organ damage |
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HTN urgency management |
Clonidine (vasodilation and lower HR) Captopril, Nifedipine, Loop Diuretics |
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HTN emergency definition |
Require immediate intervention to prevent end organ damage |
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Consequences of HTN emergency |
Malignant HTN = fundoscopic change, papilledena (swelling of the optic disk) Intracranial hemorrhage AMI Acute LV failure with pulm edema AAA |
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HTN emergency tx |
lower to 160-180 but no more than 25% in 2hr Nicardipine or Nipride (sodium nitroprusside) |
