Category: Hypertensive drugs. step 2. choose drug |
Hypertensive FAQ
A 48-year-old man is brought to the emergency department by his wife after obtaining a blood pressure reading of 234/142 mm Hg on a home blood pressure monitor. In the emergency department, his blood pressure is 236/144 mm Hg. The patient states that he has always had poorly controlled blood pressure. He also states that he took medication for a migraine headache 2 hours earlier. Which of the following medications did he most likely take? A. Diclofenac potassium B. Ergotamine C. Methysergide D. Propranolol E. Sumatriptan i guessed d. note: i am in my 1st semester of med school and do step 1 prep qs in my spare time. often, i will be able to make an educated guess, provided the qs are not histo or pharm related. any help would be appreciated.
why is my blood pressure higher when I am lying down?I have been having some problems sleeping lately, I am hypertensive and also have chest pains. Recently i started noticing that when i lie down to sleep at night i feel my heart beating irregularly and it makes it difficult for me to sleep, i then have to take some valium b4 i can sleep or have slow sex (without exerting myself so much) before i can sleep. yesernight i decided to measure my bp b4 going to bed it was 125/76, pulse 56. I measured it again while lying down and it was 140/80 pulse 54. i was surprised, so i sat up, went over to my table and measured it and i got 123/75 when i went back to bed it was 139/81. i then concluded that my bp seems to go up when i lie down which doesn;t seem right to me, is that y i have been having irregular heart beats and angina pains when i try to sleep lately. I am currently taking atenolol 100mg once a day, norvasc, captopril and aspirin but it seems these drugs no longer help especially with this irregular heart beat, altho they seem to have succeeded in lowering my bp and stabilizing me cos my bp behaves erratically, rises without warning, in such cases i quickly take take isordil (nitrate to bring it down quickly) but the above mentioned drugs seems to have stabilized my bp so i hardly take the nitrates. this new episode of palpitations and arrythmia (if that is what it is) that started 5 days ago when i bought a new pack of norvasc. its usually noticable when i lie down. I am thinking of stopping the norvasc bcos it coincides with the day the irregular heart beat started, fake norvasc are very common here in Nigeria and the last time i had these irregular heartbeats it stopped when i stopped taking the new norvasc pack that i bought then. I am suspecting the norvasc cos the previous pack i had was not giving me any problem, this prob started with this new pack or i'm i getting it all wrong, is my condition getting worse, i want to know what u guys think b4 i go to my cardiologist. yesternight i switched to atenolol 50mg twice a day to c if it can control the irregular beat at night, i don't like taking the atenolol cos i used to be ashmatic (then i was a heavy smoker). now i have stopped smoking and the ashtma seems to have gone with it. but one day after having intense sex with my wife i started having difficulty breathing, in less than 3 mins i could hardly breath at all, i managed to grab my old ventolin inhaler was lucky to find something inside, i inhaled deeply twice and within a few mins felt some relief, but that sudden ashtma attack really scared me cos i wonder what would have happened if i didn't have that ventolin inhaler at home, now i carry it about with me, i told my doctor and he said i shud stop the atenolol, last 2 months i complained of chest pains and he said i shud start taking the atenolol again...anyway i want u guys to evaluate my case and advice me b4 i c my doctor, if there are better drugs out there i wnat to know them so i can suggest it to him, also i will like hints on how to get authentic norvasc cos my system doesn't take kindly with the fake ones (or maybe they are not fake as one pharmacist suggested that my reactions my just be psychological). I am 34 yrs old, slightly over weight, not very active, wanted to restart my exercise routing but i have to be careful not to over stress my heart, my doctor suggested walking quickly will do for now until i get the hang of it...he also suggested i shud cross over to UK and have a proper heart test done, medical facilities are limited here in nigeria, i have done a heart echo and ecg with chest xray, the echo showed i had LVH as at then which has resolved and slightly thickened endo which my doctor said is quite normal with hypertensive patients but i have discovered that i can't do some things i used to do b4, like vigorous sex cos of my heart, if i try it i usually end up panting and maybe suffer some irregular heart beats.. give me all the possible advice u can b4 i go and c him, and do u guys really think i shud spend my life saviings on a trip to the UK to have my heart properly checked out or is everything under control...my major prob is my bp rising suddenly without warning, if i don't notice it in time and take adequate measure maybe a cardiovascular incident may occur...what shud i do?
what blood pressure RX has the least side effects?i now take tekturna 150 mg. does this have any hair fallout reactions?, my hair is shedding terribly... and this is the only RX i take!..and i need to be on something cuz i am very hypertensive--pls advise the gentlest rx so i can get my doctor to switch, THANX!
Are there any easy, nutritional recipes that can be made by a 15 year old?I know this is a redundant question but... How do I learn to cook? My mom only knows how to cook Vietnamese food (we're Vietnamese, obviously). Now, she's vowed not to cook anything for me ever again because of my stingy tastes. Um...yeah...I'd think I get tired of rice and noodles in some of my meals everyday. I'm looking for something new. She is hyperglycemic and hypertensive even though she doesn't eat American food at all. Oh guess what, my dad is the same way too...I guess I'm doomed to have a heart attack in the possible near-far future. Fortunately, I'm pretty...spongy. If you tell me how to do something, I can do it in no time flat. I'd appreciate any recipe, any type of food. What are some important and essential ingredients that can be bought from my nearby supermarket? Thanks in advance.
can breast feeding by hypertensive mother cause anything related to hypertension to the baby?