HTN Emergency - Herring

Common Nonprescription causes of Elevated BP

Black Licorice, Alcohol, Caffeine, Decongestants, St Johns Wort, Hard Drugs like Cocaine Meth and Bath Salts

Resistant HTN Solutions

Switch to longer longer-acting medication

Utilize one med at night and one in the morning

Discuss possible adherence problems

Migraine ARB 

Candesartan 

Pregnancy viable HTN Control  

Hydralazine, Labetalol, Methyldopa, Nifedipine 

When in pregnancy is there expected to be the biggest drop in BP

Second trimester `

1st line Lactation Meds

Methyldopa & Labetalol

T/F ACEs cannot be used in Pregnancy, but CAN be used in Lactation

False

What Meds cause Reflexive Tachycardia?

BBs abrupt withdrawl

Hydralazine

Chewing Nifedipine XL

Sometimes Minoxidil

What Meds can cause Rebound HTN?

Clonidine abrupt d/c

BB abrupt d/c

Sometimes Methyldopa & Noncardioselective BB

Risk factors for Digoxin Toxicity & AV Block 

Renal Disease

Hypokalemia

Hypomagnesemia 

Hypothyroidism 

Hypoxia