Background
MOA's
JNC 8
Dosing
Counseling
100
Elevated blood pressure reading
What is >140/90 mmHg
100
Mechanism of action for ACE-I
What is competitive inhibitor of angiotensin-converting enzyme which prevents conversion of angiotensin I to angiotensin II
100
First line agents for non-black population
What is ACE-I, ARB, CCB, and thiazide diuretic
100
Target dosing of metoprolol
What is 100-200 mg daily (1-2 doses)
100
Most common side effect of ACE-I
What is cough
200
Risk factors for hypertension
What is age, family history, race, diabetes, unhealthy diet, physical inactivity, alcohol and tobacco use
200
Mechanism of action of beta blockers
What is blocks beta adrenergic receptors
200
First line agents for African American population
What is calcium channel blocker or thiazide diuretic
200
Starting dose of lisinopril
What is 10 mg
200
Other antihypertensives can thiazide diuretics be combined with to reduce risk of electrolyte disturbances
What is ACE-I and ARBs
300
Things that hypertension can lead to
What is MI, stroke, renal failure, and death
300
Mechanism of action for ARBs
What is selective and competitive angiotensin II receptor antagonist
300
BP goals for >60 yrs old; <60 yrs old; >18 yrs old with DM; and >18 yrs old and CKD
What is 150/90 mmHg; 140/90 mmHg; 140/90 mmHG; 140/90 mmHg
300
Target dosing of amlodipine
What is 10 mg
300
Reason for using beta selective beta blockers
What is bronchoconstriction and some vasoconstriction
400
The symptoms for hypertension
What is none
400
Mechanism of action of thiazide diuretics
What is inhibits sodium reabsorption in distal tubules
400
Medications for patients >18 yrs old and CKD
What is an ACE-I or an ARB to improve kidney outcomes
400
Target dosing for losartan
What is 100 mg daily (1-2 divided doses)
400
Reaction you may get from DHP CCB, but not non-DHPs
What is reflex tachycardia
500
Percent of people with controlled hypertension
What is about half
500
Mechanism of action of calcium channel blockers
What is inhibits calcium ion from entering voltage-sensitive areas of vascular smooth muscle and myocardium during depolarization
500
What to do if BP goal is not reached in a month
What is increase the dose of current treatment or add another first line agent
500
Target dose of hydrochlorothiazide
What is 25-100 mg daily (1-2 doses)
500
Black box warning for ACE-I and ARBS
What is fetal toxicity