Print Options

Card layout: ?

← Back to notecard set|Easy Notecards home page

Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

10 notecards = 3 pages (4 cards per page)

Viewing:

Optimize Combo Therapy for Hypertension

front 1

Therapy for HTN with comorbidities?

back 1

  • ACEI/ARB + beta blockers for pt with recent heart attack

front 2

First line BP therapy?

back 2

  • ACEI/ ARB
  • CCB
  • Thiazide

They lower BP AND reduce CV risk

front 3

Why want combo?

back 3

  • To offset side effects if pushing higher dose of one med
  • ACEI/ ARB counteract peripheral edema due to CCB
  • ACEI/ ARB reduce risk of hypokalemic due to thiazide

front 4

ACEI vs ARB

back 4

  • ARB preferred due to lower side effects such as cough or angioedema

front 5

Add-on to pt with hypokalemia?

back 5

  • Spironolactone

front 6

Add-on to pt with migraine prophylaxis?

back 6

  • Beta-blocker: metoprolol

front 7

Add-on to pt with BPB?

back 7

  • alpha blocker: doxazosin

front 8

Some last resorts BP meds?

back 8

  • Vasodilator (hydralazine)
  • Alpha-2 agonists (clonidine)

due to adherence, side effects

front 9

Risky combos

back 9

  • ARB + ACEI
  • Aliskiren

They increase risk of hyperkalemia, hypotension, kidney injury..and lack CV benefit

front 10

Some CCB combo?

back 10

  • Okie to mix dihydropyridine CCB (amlodipine) with NON-dihydropyridine CCB (diltiazem, verapamil)...if options are limited such as chronic kidney disease or resistent HTN