Hypertension Flashcards

1
Q

most common primary dx

A

HTN

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2
Q

screen q2yr

A

under 120/80

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3
Q

screen q1yr

A

120-139/80-90

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4
Q

BP decrease wt loss

A

5-20mmHG/10kq loss

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5
Q

BP decrease Dash diet

A

8-14

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6
Q

BP decrease Na restriction

A

2-8

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7
Q

BP decrease physical activity

A

4-9

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8
Q

BP decrease moderate alcohol consumption

A

2-4

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9
Q

intial drug in pt over 160/100

A

start w/any two classes

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10
Q

why ACEi good for CHF

A

decreases afterload

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11
Q

causes leg edema 15-30%

A

CCB

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12
Q

Contraindicated in essential HTN, HTN emergency

A

CCB

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13
Q

hyperkalemia, risk of sudden death in high doses

A

Aldo antangonists, K sparing diuretics. Low reduced reduce M/M in CHF

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14
Q

pt f/u in HTN

A

q1mo until goal is met, then q3-6mos.

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15
Q

more frequent HTN follow-up

A

stage 2, OCP. complicated comorbids

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16
Q

labs to monitor 1-2x yearly in HTN

A

serum K and Cr

17
Q

pt more likely to have end-organ damage

A

more than ten years of poorly controlled HTN

18
Q

common prescription drugs that elevate BP

A

OCP, amphetamines, thyroid meds, steriods, antidepressants, =

19
Q

common OTC drugs that elevate BP

A

pseudoephedrine, appetite suppressants, NSAIDs

20
Q

herbal meds that elevate BP

A

ma huang, bitter orange, ginko, ginseng, licorice, st. john’s wort

21
Q

HTN in DM, renal dz

A

over 130/80

22
Q

does microaluminuria have prognostic implications?

A

yes?

23
Q

What percent of HTN is essential HTN?

A

95-99%

24
Q

is marked hypertension with evidence of end-organ damage that requires immediate blood pressure control.

A

hypertensive emergency

25
Q

is marked hypertension with papilledema, retinal hemorhhages or exudates and is considered a subset of a hypertensive emergency

A

malignant hypertension

26
Q

is marked hypertension that requires blood pressure control within hours but without evidence of end-organ damage

A

hypertensive urgency

27
Q

lifestyle modification benefits in HTN

A

lower BP, enhanced drug efficacy, decreased CV risks

28
Q

sodium reduction recommendation

A

under 2.4g Na (6g NaCl)

29
Q

physical activity for HTN

A

3-4x weekly, 40min/session, brisk walking

30
Q

women with HTN

A

more compliant. try d/c OCP. no ACE/ARB in pregnancy

31
Q

check BP in OCP pt

A

every 6 months

32
Q

HTN prevalence in elderly

A

2/3 of people over 65