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DRUG CLASSES CALCIUM CHANNEL BLOCKERS
Calcium channel blockers (CCBs) or calcium antagonists, are among the most widely used drugs in cardiovascular medicine with roles not only in hypertension but also in angina and (for some CCBs) tachyarrhythmias. Examples Amlodipine Diltiazem Felodipine Isradipine Lacidipine Lercanidipine Nicardipine Nifedipine Nisoldipine Verapamil
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BETA-ADRENOCEPTOR ANTAGONISTS (BETA-BLOCKERS)
bihsoc.orgSudden withdrawal of beta-blocker may provoke worsening angina or myocardial infarction. Beta-blockers should be introduced with caution in patients at risk of heart failure. Although beta-blockers can worsen left ventricular dysfunction acutely, under specialist supervision, beta-blockers can improve ...
ANGIOTENSIN CONVERTING ENZYME (ACE) INHIBITORS
bihsoc.orgrenin-angiotensin system. Nevertheless, Afro-Caribbeans and elderly individuals, who tend to have low renin hypertension, respond less well to ACE inhibitors. Inhibition of ACE (kininase II) also leads to accumulation of kinins including bradykinin which promotes vasodilator activity and may contribute to the overall effectiveness of ACE ...
DRUG CLASSES DIRECT RENIN INHIBITORS (DRI)
bihsoc.orgthe renin-angiotensin system (RAS), and as predicted by the A/CD rule, aliskiren is more effective added to C or D than to ACEi or ARB. However there was about 4/2 mmHg additional fall in blood pressure when aliskiren was added to valsartan; and the addition of
Home Blood Pressure Monitoring Protocol
bihsoc.orgHome Blood Pressure Monitoring Protocol Introduction Home Blood Pressure Monitoring (HBPM) is being increasingly used in many health systems worldwide and is well accepted by patients. A recent survey undertaken in the UK found that around 30% of patients with hypertension monitor their own blood pressure at home. In other
Home Blood Pressure Diary
bihsoc.orgThis resource is a joint production of the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Greater Manchester and the British Hypertension Society
Home Blood Pressure Monitoring Explained
bihsoc.orgHome Blood Pressure Monitoring Explained ... Home blood pressure monitoring is when you measure your own blood pressure at home using a blood pressure monitor. ... readings can avoid these problems and can help doctors and nurses to: Establish whether you have high blood pressure (also known as hypertension) ...
Taking Your Blood Pressure At Home
bihsoc.orgblood pressure reading. You should also avoid measuring your blood pressure when you need to use the toilet. It is important that you always measure your blood pressure in the same arm. You should use the arm which your doctor or nurse uses when they take your blood pressure, or whichever arm they ask you to use.
AMBULATORY BLOOD PRESSURE MONITORING (ABPM) …
bihsoc.orgTo see what happens to a patient’s blood pressure at night How is it performed? This type of blood pressure measurement is similar to your usual blood pressure measurement: an electronic monitor takes your blood pressure by inflating a cuff around your upper arm and then slowly releasing the pressure. Normally, the monitor is fitted at your
Home Blood Pressure Monitoring: Treatment Targets
bihsoc.orgHome Blood Pressure Monitoring: Treatment Targets Patient Group Clinic Target HBPM Target Hypertension (no co-morbidities) Taken from: NICE CG127, Aug 2011 under 80 yrs <140/90 mmHg <135/85 mmHg over 80 yrs <150/90 mmHg <145/85 mmHg Type 1 diabetes Taken from: NICE CG15, July 2014 <135/85 mmHg <130/80 mmHg Microalbuminuria
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BEVESPI AEROSPHERE PRESCRIBING INFORMATION
den8dhaj6zs0e.cloudfront.netbeta. 2-agonists. (7.3) · Monoamine oxidase inhibitors and tricyclic antidepressants: Use with extreme caution. May potentiate effect of formoterol fumarate on cardiovascular system. (7.4) · Beta-blockers: Use with caution and only when medically necessary. (7.5) · Anticholinergics: May interact additively with concomitantly used anticholinergic
The Preoperative Evaluation - College of Medicine
internal.medicine.ufl.eduJun 05, 2012 · renal failure), and beta-blocker therapy in vas - cular surgery patients. The main outcomes assessed were cardiac death and nonfatal myocardial infarction. Findings: • Patients with 0 to 2 points who received beta-blockers had a low rate of cardiac com-plications (< 1%), irrespective of the findings on dobutamine stress echocardiography.
Management of Post Traumatic Brain Injury Agitation
medicine.uams.edu-Propranolol is the most lipophilic beta blocker b. Moderately lipophilic beta blockers i. Metoprolol and pindolol 5. Anticonvulsants a. Mood-stabilizing AEDs reduce agitation [29] b. Valproic acid [30],[32], [33] i. Initial dose of 250mg BID, may be titrated up 250mg every 2-3 days to maximum of 1000-2500mg/day [20] ii.
BREZTRI Full Prescribing Information
den8dhaj6zs0e.cloudfront.netLong-Acting Beta. 2-Agonists. As with other inhaled drugs containing beta. 2-adrenergic agents, BREZTRI AEROSPHERE should not be used more often than recommended, at higher doses than recommended, or in conjunction with other medications containing LABA, as an overdose may result. Clinically significant cardiovascular
GET WITH THE GUIDELINES - American Heart Association
www.heart.orgAdditional comments about beta-blockers… •Metoprolol tartrate is dosed BID but duration is variable and dose related • 50% reduction in maximum heart rate after single doses of 20, 50, and 100 mg occurred at 3.3, 5, and 6.4 hours, respectively But…. •No head-to-head comparison has been done between carvedilol and metoprolol succinate ...
BETA-ADRENOCEPTOR ANTAGONISTS (BETA-BLOCKERS)
bihsoc.orgBeta-blockers vary in the degree of elimination by the kidney or the liver, usually with extensive first-pass metabolism. Lipid-soluble beta-blockers, e.g. labetalol, metoprolol, pindolol and propranolol, typically depend upon hepatic metabolism for clearance, whereas water soluble beta-blockers e.g. atenolol are cleared by the kidney. Drugs
CARDIOVASCULAR Acute / Subacute Bacterial Endocarditis
twistoflemons.como Treatment: aspirin, nitrates, B-blockers, Ca channel blockers, ACE-I, statin, coronary angioplasty, CABG § B-blockers prolong life in patients with coronary disease and are first line therapy for chronic angina • Unstable: when pain is less responsive to NTG, lasts longer, occurs at rest / less exertion – ANY CHANGE à eval