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FNP Pharmacology Finals part11
FNP pharmacology finals, JNC7 HTN guidelines
14
Medical
Graduate
04/22/2009

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Term
Define SBP and DBP for prehypertension.
Definition
120-139 or 80/89
Term
Define SBP and DBP for HTN, stage 1
Definition
140-159 or 90/99
Term
Define SBP and DBP for HTN, stage 2
Definition
>/=160 or >/= 100
Term
What labs should be gathered for initial HTN workup?
Definition
UA, BG, Hct, lipid panel, K+, creatinine, and calcium, ECG.
Term
What are the major CVD risk factors
Definition
HTN, Obesity, dyslipidemia, DM, cigarette smoking, pysical inactivvity, microalbuminuria, estimated GFR <60 mL/min, age (>55 men, >65 women), family hx of premature CVD (men age <55, women age <65).
Term
What are some identifiable causes of hypertension?
Definition
sleep apnea, drug-related, CKD, primary aldosteronism, renovascular dz, cushing's syndrome or steroid therapy, pheochromocytoma, coarctation of aorta, thyroiid/parathyroiid disease.
Term
What is the goal BP for patients with DM or CKD?
Definition
<130/80
Term
What are some causes of resistant HTN?
Definition
improper BP measurement, excess Na+ intake, inadequate diuretic therapy, inadequate doses, drug actions/interactions (NSAIDs, illicit drugs, sympathomimetics, oral contraceptives, OTC drugs, herbals), excess EtOH intake
Term
Thiazide diuretics are recommended for use in all "compelling indications" for HTN tx, except what 2 indications?
Definition
post MI and CKD
Term
Beta blockers are recommended for use in all "compelling indications" for HTN tx, except what 2 indications?
Definition
CKD, recurrent stroke prevention.
Term
What compelling indications have recommendations for ACE inhibitors?
Definition
All of them (HF, post MI, high CVD risk, DM, CKD, recurrent stroke prevention)
Term
What 2 "compelling indications" recommend use of calcium channel blockers?
Definition
High CVD risk, DM
Term
What nonpharmaceutical intervention is most effective at reducing SBP (5-20 mmHg/10Kg)?
Definition
Weight reduction.
Term
What nonpharmaceutical intervention is least effective at reducing SBP (2-4mmHg)?
Definition
Moderation of alcohol consumption (Men
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