Exam (elaborations)
UTA Family University Of Texas - Arlington -UTA Family 3 Final Exam
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- UTA Family
- Institution
- University Of Texas - Arlington
UTA Family University Of Texas - Arlington -UTA Family 3 Final Exam
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UTA Family 3 Final Exam2017 ACC/AHA guidelines: 10 yr risk < 10% and SBP ≥ 140/90
Correct Answer use BP lowering meds
2017 ACC/AHA guidelines: black adults with HTN, no HF or
CKD Correct Answer initiate therapy with thiazide diuretic or
CCB
2017 ACC/AHA guidelines: clinical CVD and BP ≥ 130 / ≥ 80
Correct Answer use BP lowering meds
2017 ACC/AHA guidelines: drugs contraindicated in pregnant
women Correct Answer - ACE
- ARBs
- direct renin inhibitors
2017 ACC/AHA guidelines: elevated BP Correct Answer 120-
129/ <80
2017 ACC/AHA guidelines: elevated BP reassessment Correct
Answer 3-6 months
2017 ACC/AHA guidelines: first line agents Correct Answer -
thiazide diuretics
- CCBs
- ACE
- ARBs
,2017 ACC/AHA guidelines: HTN reassessment for new or
adjusted drug regimen Correct Answer follow up at monthly
intervals until control is sustained
2017 ACC/AHA guidelines: hypertensive crisis Correct Answer
> 180/120
admit to ICU if target organ damage
2017 ACC/AHA guidelines: hypertensive URGENCY Correct
Answer - elevated BP without current organ damage
- happens when patients stop taking their meds
- doesn't require a rapid decrease
- check proteinuria and BMP
- one week follow up
2017 ACC/AHA guidelines: initiation of drug therapy in stage 1
HTN Correct Answer initiate therapy with a single drug
2017 ACC/AHA guidelines: initiation of drug therapy in stage 2
HTN Correct Answer initiate drug therapy with 2 first line
medications of different classes as separate agents or combo
drug
2017 ACC/AHA guidelines: no CVD and ASCVD risk < 10%
BP threshold Correct Answer ≥ 140/90
2017 ACC/AHA guidelines: normal BP Correct Answer <120 /
<80
2017 ACC/AHA guidelines: normal BP reassessment Correct
Answer yearly
, 2017 ACC/AHA guidelines: pregnant or planning pregnancy
safe drug choice Correct Answer - methyldopa
- nifedipine
- labetalol
2017 ACC/AHA guidelines: primary prevention in adults 10 yr
ASCVD risk of ≥ 10% Correct Answer use BP lowering meds
2017 ACC/AHA guidelines: secondary stroke prevention BP
threshold Correct Answer ≥ 140/90
2017 ACC/AHA guidelines: stage 1 HTN Correct Answer 130-
-89
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10
yr ASCVD < 10% Correct Answer 3-6 months
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10
yr ASCVD > 10% Correct Answer one month until BP goal
met, then 3-6 months
2017 ACC/AHA guidelines: stage 2 HTN Correct Answer ≥
140/ ≥ 90
2017 ACC/AHA guidelines: stage 2 HTN reassessment Correct
Answer one month until goal BP met, then 3-6 months
2017 ACC/AHA vs JNC 8 older community dwelling adults ≥
65 yo Correct Answer - JNC 8 treat BP if > 150/90
- 2017 treat if SBP ≥ 130
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