NAPLEX - Hypertension
Questions and answers
Combination Brand name - answer
Combination Brand name (Lisinopril/Hydrochlorothizide) - answer
(e)
Hypertension places patients at risk for what conditions? - answer
Stroke, heart disease, kidney failure
When should drug therapy for hypertension be initiated - answer
Whenever the systolic or diastolic pressure is higher than the
target.
Key drugs that increase blood pressure - answer Amphetamines or
other ADHD medications
Cocaine
Decongestants
Erythropoesis stimulating medications
immunosuppressant's (Tacrolimus, cyclosporine)
NSAIDs
Systemic Steroids
6 ways to alter lifestyle management - answer Weight maintain a
healthy BMI 18.5-24.9
Limit alcohol consumption
,Eat health
Exercise regularly
REduce sodium intake
Smoking cessation
Control blood glucose and lipids to reduce carediovascular disease
risk.
Goal BP for patients 18-59 and no co-morbidities (JNC8) - answer
BP<140/90 mmHg
Goal blood pressure targets for patients with CKD and/or Diabetes
(JNC8) - answer BP<140/90
Goal blood pressure targets for patients with >60 with no
comorbidities? (JNC8) - answer BP< 150/90
Initial drug selection for a non-black patient? (+/- diabetes) (JNC8) -
answer ACE-I, ARB, CCB, thiazide
Black +/- Diabetes (JNC8) drug choice (JNC8) - answer CCB or
thiazide
CKD +/- albuminuria +/- diabetes (all races) drug choice (JNC8) -
answer ACE-I or ARB
BP starting at > 160/100 or >20/10 above target goal, drug choice?
(JNC8) - answer Consider starting two medications
, How should drug titration and combination treatment be done? -
answer Titrate the first medication to the maximum dose before
considering the initiation of a second medication. OR add a second
medication before reaching the max dose of the second medication.
What is the blood pressure goal for patients with diabetes basesd
on the ADA? - answer BP<130/80 mmHg
Combination Brand name (Losartan/hydrochlorothiazide) - answer
(Hyzaar)
What is the blood pressure goal for patients with CKD and
albuminuria? - answer BP<130/80
Combination Brand name (Lisinopril/Hydrochlorothiazide) - answer
(Zestoretic HCT)
Combination Brand name (Olmesartan/Hydrochlorothiazide) -
answer (Benicar HCT)
Combination Brand name
(Valsartan/Hydrochlorothiazide) - answer (Diovan HCT)
Combination Brand name
(Benzapril/Amlodipine) - answer (Lotrel)
Combination Brand name
(Atenolol/chlorthalidone) - answer Tenoretic
Questions and answers
Combination Brand name - answer
Combination Brand name (Lisinopril/Hydrochlorothizide) - answer
(e)
Hypertension places patients at risk for what conditions? - answer
Stroke, heart disease, kidney failure
When should drug therapy for hypertension be initiated - answer
Whenever the systolic or diastolic pressure is higher than the
target.
Key drugs that increase blood pressure - answer Amphetamines or
other ADHD medications
Cocaine
Decongestants
Erythropoesis stimulating medications
immunosuppressant's (Tacrolimus, cyclosporine)
NSAIDs
Systemic Steroids
6 ways to alter lifestyle management - answer Weight maintain a
healthy BMI 18.5-24.9
Limit alcohol consumption
,Eat health
Exercise regularly
REduce sodium intake
Smoking cessation
Control blood glucose and lipids to reduce carediovascular disease
risk.
Goal BP for patients 18-59 and no co-morbidities (JNC8) - answer
BP<140/90 mmHg
Goal blood pressure targets for patients with CKD and/or Diabetes
(JNC8) - answer BP<140/90
Goal blood pressure targets for patients with >60 with no
comorbidities? (JNC8) - answer BP< 150/90
Initial drug selection for a non-black patient? (+/- diabetes) (JNC8) -
answer ACE-I, ARB, CCB, thiazide
Black +/- Diabetes (JNC8) drug choice (JNC8) - answer CCB or
thiazide
CKD +/- albuminuria +/- diabetes (all races) drug choice (JNC8) -
answer ACE-I or ARB
BP starting at > 160/100 or >20/10 above target goal, drug choice?
(JNC8) - answer Consider starting two medications
, How should drug titration and combination treatment be done? -
answer Titrate the first medication to the maximum dose before
considering the initiation of a second medication. OR add a second
medication before reaching the max dose of the second medication.
What is the blood pressure goal for patients with diabetes basesd
on the ADA? - answer BP<130/80 mmHg
Combination Brand name (Losartan/hydrochlorothiazide) - answer
(Hyzaar)
What is the blood pressure goal for patients with CKD and
albuminuria? - answer BP<130/80
Combination Brand name (Lisinopril/Hydrochlorothiazide) - answer
(Zestoretic HCT)
Combination Brand name (Olmesartan/Hydrochlorothiazide) -
answer (Benicar HCT)
Combination Brand name
(Valsartan/Hydrochlorothiazide) - answer (Diovan HCT)
Combination Brand name
(Benzapril/Amlodipine) - answer (Lotrel)
Combination Brand name
(Atenolol/chlorthalidone) - answer Tenoretic
