Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Thiazide diuretics have been accepted as the primary foundation of antihypertensive therapy. The basis of this choice is that, apart from their primary hypotensive effect, they enhance the efficacy of other hypotensive drugs. It has been observed that most of the hypertensive patients would require 2 or more drugs for optimal control. Usually another drug from a different class can be added when BP is more than 20/10 above the goal. The drugs can be administered either separately or as fixed dose combinations. The presence of comorbid conditions should determine the choice of specific classes of hypotensive drugs.
a) Ischemic Heart Disease
In patients with hypertension and stable angina the drug of choice is usually a beta-blocker, with or without a long acting calcium channel blocker. In unstable angina, a beta-blocker, diltiazem and ACE inhibitors or an ARB are the preferred ones. In post infarction states beta-blockers and ACEI/ARB are the choices.
b) Heart Failure
With the current interest in diastolic heart failure there is a greater interest in the management of diastolic dysfunction usually detected on echocardiography. Beta-blockers and ACEI/ARB are the choices. Diuretics are not recommended since they decrease the LV filling pressure. In early systolic dysfunction, ACE/ARB are given. In florid heart failure it has to be diuretics, aldosterone antagonists, ARB/ACEI are recommended.
c) Diabetic with Hypertension
ACEI and ARBs are first choice since they have been found to retard the progression of diabetic nephropathy and may reduce albuminuria. Other drugs can be added to obtain the target BP of 130/80.
Name the proteins used in oteoblast Some of these proteins include fibronectin, thrombospondin, osteopontin and osteoadherin (most of them have RGD cell binding peptide for bin
Which of these lists contains the four postulates of natural selection? Which of these lists contains the four postulates of natural selection? Uniform population, heritable trait
Q. What are venous vessels, venules and veins? Venous vessels are every blood vessel that carries blood from the tissues to the Venules, Veins and heart are venous vessels. Ven
When the overlap between the thin and thick filaments of a sarcomere in a skeletal muscle is decreasing, A. the total length of the I band is increasing in the sarcomere. B.
Question Write a short note on the following: 1 Dihybrid cross 2 Supplementary interaction 3 Maternal effect 4 Hardy Weinberg Equilibrium 5 What is Linkage? Ex
Q. Since neurotransmitters are not consumed in the synaptic process What are the mechanisms to reduce their concentrations in the synaptic cleft after they have been used?
Zinc (Zn) - Micronutrients In its function in some enzyme systems, zn 2+ resembles Mn 2+ in that it brings about substrate binding and conformational changes in enzymes. A n
phylum and chordata ex. and their classiication
Q. Patient care plan for hypertensives? - Lifestyle changes: Avoiding smoking, use of tobacco, and excess alcohol intake Physical activity like walking, 4 times a week or 40 mi
Q What is the logical order in which the concepts of molecules, atoms, cells... up to biosphere are associated? Atoms form molecules that form cells that form tissues that form
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd