Notes in 03 Hypertension

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Published	06/26/2023	{{c1::Essential}} hypertension: No identifiable cause but is thought to be linked to genetics, poor diet, lack of exercise, obesity{{c1::Secondary}} H…
Published	06/26/2023	Hypertensive crisis: >{{c2::180/120}} mmHgHypertensive {{c1::urgency}}- no end organ damageHypertensive {{c1::emergency}} - presence of new or prog…
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Published	06/26/2023	47f1e7cf383d497ab145fd6bcb67581d-oa-1
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Published	06/26/2023	47f1e7cf383d497ab145fd6bcb67581d-oa-6
Published	06/26/2023	HTN Diagnosis:- Must have an average based on >/= {{c1::2 readings}} obtained on {{c1::2 occaisions}}{{c2::Out of office self monitoring}} of bp me…
Published	06/26/2023	Workup for htn:{{c1::CBC}}{{c1::CMP/BMP}}TSH{{c1::Lipid panel}}{{c1::UA}}Imaging {{c2::EKG}}Renal {{c2::us}}Physical Exam:{{c2::Fundoscopy}}
Published	06/26/2023	Management of HTN:Non pharmacologic interventions should be initiated for {{c1::3-6 months}} after dx of htnMedications: initiate if {{c1::non pharmac…
Published	06/26/2023	Non pharmacologic interventions / Risk Factors:{{c1::Weight lossExerciseDASH diet}}Sodium restriction:<2300 mg dietary na intakeAlcohol restriction…
Published	06/26/2023
Published	06/26/2023	Treating htn reduces risk of {{c1::stroke}}, {{c1::heart failure}}, {{c1::mi risk}}
Published	06/26/2023	Complications of HTN: CV{{c2::Cardiovascular}} disease{{c2::Neurologic}} complication{{c1::Nephropathy}}- {{c1::HTN}} is second most common cause of {…
Published	06/26/2023	Pharmacological interventions:{{c1::Diuretics}}{{c1::ACE}}{{c1::ARBs}}{{c1::Calcium channel blockers}}The above are first line{{c2::Beta blockers}} ar…
Published	06/26/2023	Thiazide diuretics: {{c1::Chlorothalidone}} 12.5 to 25mg{{c1::HCTZ}} 12.5 - 100mgMOA:{{c2::Reduce blood volume}} by preventing Na / water reabsor…
Published	06/26/2023	Pharmacological Interventions:Loop diuretis: {{c1::Furosemide}} 40-80mgMOA:Inhibits water transport across LOH to increased excretion of {{c1::water}}…
Published	06/26/2023	Pharmacological Interventions:Potassium sparing diuretics / {{c2::aldosterone}} antagonist:{{c2::Spironolactone}} (25mg - 100mg)MOA:Inhibits {{c1::ald…
Published	06/26/2023	ACE: {{c1::Lisinopril}} 10-40mg {{c1::Enalapril}} 5-20mg {{c1::Captopril}} 12.5mg 50mgMOA:Inhibits conversion {{c2::angiotensin I to an…
Published	06/26/2023	Angiotensin II Receptor blockers (ARB){{c1::Losartan}} 50-100{{c1::Valsartan}} 40-320 {{c1::Candsesartan}} 4-32MOA:selective inhibition of {{c2::…
Published	06/26/2023	Pharmacological Interventions:CCB- dihydropyridine{{c1::Amlodipine}}{{c1::Nifedipine}}Non-Dihydropyridine:{{c2::Verapamil }}{{c2::Diltiazem}}MOA:…
Published	06/26/2023	2nd line :Beta blockers{{c1::Metoprolol}}{{c1::Atenolol}}{{c1::Propanolol}}{{c1::Labetalol}}MOA: Antagonize beta receptors to decrease {{c2::hr}}…
Published	06/26/2023	Lab monitoring:ACE inhibitors / ARB: Check {{c1::BMP}} in {{c2::1-2}} weeks after starting{{c1::Hyperkalemia}}, acute increase in {{c2::creatinine}} (…
Published	06/26/2023
Published	06/26/2023	Causes of Secondary HTN:{{c1::Oral contraceptives}}{{c1::NSAIDS}}Anti depressants- {{c2::tca}} and {{c2::ssri}}{{c2::corticosteroids}}Decongestants- a…
Published	06/26/2023	Secondary HTN workup:Primary hyperadldosteronism: Check {{c1::plasma aldosterone: Renin ratio }}OSA:{{c1::Stop- bang questionaire}} >2
Published	06/26/2023	Resistant HTN:Failiure to reach goal goal bp in pts who are adhering to full doses of an appropriate {{c1::three}} drug regimen- that includes a diure…
Published	06/26/2023	Hypertensive emergency:BP >{{c1::180/120}} and new progressive - worsening {{c1::target organ}} damageAdmit to icuConsider {{c1::aortic dissection,…
Published	06/26/2023	IV agents used in hypertensive emergency:{{c1::Nicardipin}}e- CCB- contraindicated in severe {{c2::aortic stenosis}}{{c1::Nitroprusside}}- direct vaso…
Published	06/26/2023	Hypertensive Urgency:BP >{{c1::180 / 120}} without evidence of {{c1::end organ damage}}Typically seen with non compliance of anti hypertensive medi…
Published	06/26/2023	Hypertensive Urgency Treatment goals: <{{c2::160 / 100}}{{c1::Clonidin}}e- short acting a2 adrenergic agonist- short acting so reduces bp quicklyA{…
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Status	Last Update	Fields