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Cards HTN Tx Matching
Rx of choice for DM nephropathy
ACEI (increase blood flow to kidneys -> promote renal repair); act synergistically with a diuretic
Firstline & 2ndline HTN tx in pregnant patient =
1st: methyldopa (Aldomet). 2nd: hydralazine
Tx for pre-op HTN
Atenolol
Cushing Syndrome: tx for HTN
HTN is reversible if cause is eliminated (ie, pituitary adenoma, corticosteroid Rx)
Hypertensive emergency tx
nitroprusside (CI in PG) or labetolol; to 110 over several hours
Pt just started on ACEI develops weakness. What test (lab, UA, CT, US) is most specific to dx pt?
Renal US
CCBs: Dihydropyridines (DHPs) vs nonDHPs
DHPs more vascular selective (fewer cardiac conduction fx): tx HTN/angina. NonDHPs more cardio-selective with more inhibitory fx on SA/AV node (CAUTION in CHF)
Tx for migraine (w/HTN meds):
1 atenolol; 2 verapamil
For pts with DM regardless of race), HTN tx should include:
ACEI or ARB
1stline HTN tx in pregnancy
1 Methyldopa; 2 hydralazine
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