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CV 10 HTN II

Hypertension Part II

QuestionAnswer
What is the MC cause of Cushing syndrome? Excess exogenous corticosteroid
What is the Parkland burn formula? 4ml x kg body weight x %BSA burned. LR. Give first half of fluids in first 8h and second half over remaining 16h.
What is the gold std test to diagnose renal artery stenosis? Renal arteriogram
What is the most frequently used screening test for renal artery stenosis? MRA of renal aa
What is the MCC of secondary HTN? Renal disease
HTN + depression + kidney stones= ? Hyperparathyroidism
A 24yo F comes to the clinic for a check-up and is found to have markedly elev BP. She is at a recommended body weight, follows a good diet/excercises, and does not smoke or use birth control. What might be the cause of her HTN? Radiologic findings? RAS caused by fibromuscular dysplasia. Beads on a string on renal arteriogram.
What is the most likely cause of secondary HTN given the following findings?: HTN measures in arms but low BP in LE Coarctation
What is the most likely cause of secondary HTN given the following findings?: proteinuria Renal disease
What is the most likely cause of secondary HTN given the following findings?: hypokalemia Hyperaldosteronism
What is the most likely cause of secondary HTN given the following findings?: tachycardia, diarrhea, heat intolerance Hyperthyroid
What is the most likely cause of secondary HTN given the following findings?: hyperkalemia renal failure
What is the most likely cause of secondary HTN given the following findings?: episodic sweating, tachycardia Pheo
Hypoperfusion and resultant tissue ischemia are the concern in shock pts. What is the chemical marker of this? Lactic acid level
What complications can arise from the use of vasopressors such as norepinephrine in treating shock? Peripheral vasoconstriction -> ischemia/necrosis of fingers/toes, mesenteric ischemia, and renal failure
Name the diff types of shock and the mechanism behind each: cardiogenic pump failure
Name the diff types of shock and the mechanism behind each: extracardiogenic pump compression
Name the diff types of shock and the mechanism behind each: hypovolemic not enough fluid to pump
Name the diff types of shock and the mechanism behind each: anaphylactic widespread vasodilation in response to allergens
Name the diff types of shock and the mechanism behind each: neurogenic widespread vasodilation 2/2 loss of autonomic regulation of vascular tone
Name the diff types of shock and the mechanism behind each: septic widespread vasodilation 2/2 massive release of inflammatory mediators
BP >/= 200/120, AMS/encephalitis, papilledema, renal failure. malignant HTN
Tx for malignant HTN? IV nitroprusside, labetalol, nicardipine, or fenoldopam
What is the max percentage you should lower BP by in a hypertensive emergency? 25%
What common CHF drug is contraindicated during an acute exacerbation? BB
What drug class is always contraindicated in CHF? CCB. Reduce rate/contractility which can exacerbate HF.
Which antihypertensives are safe in pregnancy? Hydralazine, Methyldopa, Labetalol, Nifedipine(Hypertensive Mothers Love Nifedipine)
Why are diuretics contraindicated in gout? Increase serum uric acid
What antihypertensive class is contraindicated in depression? BB. May worsen sx.
Created by: sarah3148