A common lab findings with ACE Inhibitors -------- Correct Answer --------Increase K+

ACE inhibitor =

retention of potassium.

Measure potassium one month after starting and one month after changing a dose

What should you do?

Pt on Monopril and HCTZ for hypertension. His blood pressure is 160-170/92-98 on

several blood pressure checks

? Would you add an ARB? -------- Correct Answer-------- If these are at maximum doses,

consideration should be given to adding a medication from a different class.

CALCIUM CHANNEL BLOCKER

NOT ARB - Adding an ARB may result in a precipitous decrease in his blood pressure

because he takes an ACE inhibitor and both of these medications work in the reninangiotensin-aldosterone system.

Significance of sildenafil and any blood pressure meds -------- Correct Answer --------Any

antihypertensive medication.....could have an additive effect with sildenafil (or another

medication in this

A specific drug-drug interaction to be aware of is the one that can occur with sildenafil

and alpha blockers like tamsulosin, alfuzosin, prazosin, doxazosin, or terazosin. This

combination of medications may increase the risk of symptomatic hypotension because

the effect of these two drugs is additive

-------- Correct Answer--------Consider two meds

low dose HCTZ and ARB or ace

This patient's blood pressure goal is < 140>

than 20 points above systolic goal (or greater than 10 points above diastolic goal) it is

reasonable to consider two medications

Risk assessment for dyslipidemia- what age to start assessment -------- Correct Answer

------- Start at age 2