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.
In diabetes mellitus counsellor help the diabetic patient to cope up with the stress and take own decision for their treatment and life style changes. Decision making capacity of
Define GHRH Receptors (Growth Hormone Releasing Hormone Receptors)? A. GHRH Receptors are only located in the plasma membranes of cells in the hypothalamus. B. GHRH Receptor
Explain assessment of iron status - Transferrin saturation? Transferrin saturation: As iron deficiency progresses, there is a decline in transferrin saturation. With deficiency
Plants - Rapidly Flowing Waters Among the plants only small, well attached forms, such as sessile algae can survive here. Thus, due to the presence of only a few plants, the n
Q. Dietary Management of Constipation? Management of constipation lies in developing regularity of habit through a bowel- training programme and by establishing good healthy ha
Leaving the deserts as you approach the tropical regions of the earth you will enter the savanna biome, which is a combination of grassland with scattered or clumped trees. These s
Magnesium - It is available in most of the plants, especially vegetables. By its deficiency diarrhoea is caused. Its important functions are - (a) Along with c
Q. What are the few examples of movement created by the contraction of sarcomeres of the muscle cells? The handling of a cup of coffee, the peristaltic movements of the bowels,
State the ways in which (a) all plant cells, (b) some plant cells vary from animal cells. (a) All plant cells have a cellulose cell wall. (b) Some plant c
Stratification of Vegetation - Qualitative Characters Stratification of vegetation is another important feature of plant communities. There are different vertical strata in di
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