Nr 577 Already Passed

Uncontrolled on 2 Antihypertensive Medications {Ans: ACE inhibitor or ARB in + long-acting dihydropyridine calcium channel blocker + thiazide-like diuretic (chlorthalidone preferred) If a long-acting dihydropyridine calcium channel blocker is not tolerated due to leg swelling, a non-dihydropyridine calcium channel blocker (ie, verapamil or diltiazem) may be used​ If a thiazide-like diuretic is not tolerated or is contraindicated, a mineralocorticoid receptor antagonist (ie, spironolactone or eplerenone) may be used If the above drug classes cannot be used due to intolerance or contraindication, a beta blocker, alpha blocker, or direct arterial vasodilators can be used}Bile Acid Sequestrates​ {Ans: ​ ​can lower LDL-C by 15%-30% depending on the dose ​ they are not absorbed, and therefore, do not cause systemic adverse reactions ​ may increase serum TG levels; avoid use if TG>300 mg/dL ​ common side effects include gastrointestinal problems like bloating, nausea, and constipation​}Treatment: Hypertensive Urgency {Ans: Initially, patients presenting who show no target organ damage can be observed for a few hours in a dark, quiet room. Parental therapy for hypertensive urgency is rarely required. If elevation persists and symptoms are present, the provider may consider administering a short-acting oral antihypertensive such as captopril, labetalol, or clonidine,