QUESTIONS AND VERIFIED
CORRECT ANSWERS
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Diagnosis of HTN is made on the - CORRECT ANSWER-3rd elevated BP
2017 ACC/AHA guidelines: hypertensive URGENCY - CORRECT ANSWER-- elevated BP without
current organ damage
- happens when patients stop taking their meds
- doesn't require a rapid decrease
- check proteinuria and BMP
- one week follow up
During hypertensive URGENCY lower BP with these drugs - CORRECT ANSWER-- furosemide 20
mg or higher
- clonidine 0.2 mg
Clinical evidence for Accelerated HTN - CORRECT ANSWER-- severe arteriosclerosis
- grade 3 or 4 hypertensive retinopathy
- renal insufficiency for which there is no apparent cause
- prognosis if untreated poor
,List meds that can elevate BP - CORRECT ANSWER-- oral contraceptives
- cyclosporine
- TCAs
- sympathomimetic decongestants
- appetite suppressants
- corticosteroids
- NSAIDs
-erythropoietin
- anabolic steroids
- MAOI
- Norepinephrine reuptake inhibitors
Mnemonic for secondary HTN causes - CORRECT ANSWER-- accuracy, aldosteronism, apnea
- bruits, bad kidneys
- catecholamines, cushings, coarct
- drugs, diet
- endocrine, erythropoietin
What is the new recommended sodium intake? - CORRECT ANSWER-1500 mg daily
When is it safe to begin ASA therapy with HTN? - CORRECT ANSWER-BP should be controlled
JNC 8 guidleines: target BP for all patients - CORRECT ANSWER-< 140/90
JNC 8 guidelines: target BP > 60 - CORRECT ANSWER-< 150/90
, Diuretics HTN - CORRECT ANSWER-- confusing when patient develops HF
- move to loop diuretic
Thiazides HTN - CORRECT ANSWER-- caution in gout or hyperlipidemia
- may increase lipids in high doses
- not effective with impaired renal function
Consider switching to this drug if HCTZ isn't working for HTN - CORRECT ANSWER-clorthalidone
Loop diuretics HTN - CORRECT ANSWER-- use renal insufficiency
- not for gout
- may increase calcium loss
Define Pediatric HTN - CORRECT ANSWER-- up to 12 yo
- average SBP and/or DBP ≥ 95th percentile for gender, age, and height on ≥ 3 occasions
Define adolescent HTN - CORRECT ANSWER-- 13 yo and up
- BP levels ≥ 130/80 should be considered hypertensive
Normal BP 1-12 yo - CORRECT ANSWER-< 90th percentile
Pediatric 1-12 yo elevated BP - CORRECT ANSWER-- 90-95th percentile
- 120/80 to < 95th percentile whichever is lower
Pediatric HTN 1-12 yo stage 1 - CORRECT ANSWER-> 95th percentile to < 95th + 12 mmHg or