msyamp
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What drugs are preferable for blood pressure reduction in patients in
1.Pregnancy
2.African Americans
3.Diabetes mellitis
4.Hyperlipidemic
5.Obstructive airway disease
6.post mi
7.recurrent stoke
8. hypertensive emergency or malignant hyprtension
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| mjl1717
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Ill do 2: African Americans Ace inhibitors and /or HCTZ, Angiotensen receptor blockers,etc
Mal. HTN- diazoxide or Sodium Nitroprusside, possibly Lasix!
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| msyamp
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hi mjl1717 african americans have shown decreases mortalitiy and morbidity with diuretics so they should be the drug of choice here.
for malignant hypertension
and also hydralazne. DOC is nitroprusside
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| drk1980
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pregnancy- alpha methyldopa, hydralazine
DM- ACE-I
Hyperlipidemics- alpha blockers, ACE-I
Post-MI- propranolol
Recurrent stroke- CCB, preferably nifedipine, decreases vasospasm
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| msyamp
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great work
post mi why propranolol?b blocker selective
and for recurrent stoke diuretics and ace inh arerecommended.please dont ask me why.
http://www.nhlbi.nih.gov/guidelines/hypertension/...
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| mjl1717
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Ok, but for African Americans Id be hesitant to give furosemide or bumetamide since their could be excess diuresis while driving and we aim for compliance..
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| drk1980
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correction: Nimodipine (instead of nifedipine), in preventing vasospasm...used in hypertensive strokes.
how abt obstructive airway disease pts? CCBs?
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