GDMT
DHP Calcium Channel Blockers and ACE/ARB
Although this drug class is reserved for resistant HTN management, it is first-line for this "heart-breaking" condition
Coronary Artery Disease (CAD)
OR
HFrEF
A patient gets his annual lab work done and you note his sodium is low. Which of his medications could be contributing to this concern?
Irbesartan, verapamil, chlorthalidone, terazosin
chlorthalidone
This drug class is added after maximizing the first two drug classes from step 1 (be specific)
thiazide diuretics
Regardless of blood pressure, this/these drug class(es) are first-line in patients with diabetes and microalbuminuria
RAS Inhibitors
A 67yo patient with CAD and HTN presents with BP of 165/89, HR 61. Current medication is metoprolol ER 100mg daily. Pt has allergy of angioedema to quinapril. What would be the next step in treating his HTN?
add amlodipine 5mg
This drug class is good option in resistant hypertension for patients that also suffer from BPH
alpha blockers
This drug is first-line for pregnant patients due to it's once daily dosing and limited side effects
nifedipine
A patient is on chronic opioids for his back pain from a MVC, because of this he also suffers from constipation. What medication class should be avoided to treat his comorbid HTN?
Calcium channel blockers
This class of diuretics is never given for management of HTN, merely for fluid overload
Loop diuretics
Patient's post-stroke should not only be on high-dose statins, antiplatelets, and RAS inhibitors, but this other anti-hypertensive class
thiazide diuretics
A patient who works as a teacher, which requires her to be on her feet all day with minimally scheduled breaks, presents with HTN. She states she works 9 hour days and has to elevate her feet at night or wear compression socks. She has no other comorbid conditions. Which drug class would be best suited for her lifestyle?
ACE/ARB
It is not recommended to start spironolactone therapy if the potassium is over this value
4.5
True or False: treatment of comorbid conditions trump the HTN GDMT
TRUE
I'm running out of ideas
Everyone gets 1000 points