f******I
发帖数: 769 | 1
along with captopril, lisinopril is the cheaper one, and captopril is tid
dosing,
others like vasotec, altace, mavik, monopril, and lotensin are a bit more
expensive, |
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n******s
发帖数: 210 | 4 several points:
1. 60 yo, most likely type 2 DM, try metformin (no renal dysfunction)
besides diet and exerise.
2. Check the eyes every 1-2 year if no blur vision, or every 3 or 6 months
if blur vision.
3. Check blood choletserol, and determine the medical treatment according to
LDL, DOC is simvastatin.
4. Check blood pressure, the target is 130/80 (not 140/90 for normal person)
, if higher than that, treat, DOC is captopril or other ACEI.
5. Check A1C regularly, 7 is perfect, neither too high n |
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c********e
发帖数: 496 | 5 The Rx of hypertension is highly individualized one, so need more
information to throw any comments.
Roughly, the drug of choice is thiazide (HCTZ), but this patient needs at
least two antihypertensives to get the blood pressure well controlled. I
would like to say Captopril is the other.
By the way, if the stroke is ischemic one, aspirin is a must. |
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b***b
发帖数: 13249 | 6 省钱看病终极答案：（嫌弃便宜没好货的 请绕行）：
Go to free clinic----
http://www.sharewood.info/
MD there will give you free prescription for high blood pressure after they
fully review your case.
Meds. for high blood pressure are very common and cheap in US.
Go to walmart $4/month meds. list.for non-insurance people.
Walmart 有常见的高血压药： Atenolol, Captopril, Enalapril, Furosemide,
hydralazine, Hydrochlorothiazide(HCTZ), Isosorbide, Lisinopril-HCTZ,
Lisinopril,Metoprolol, Propranolol, Terazosin, Triamterene-HCTZ,Verapa... 阅读全帖 |
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y******n
发帖数: 8667 | 7
还真是 potassium chloride
http://en.wikipedia.org/wiki/Salt_substitute
Salt substitutes are low-sodium table salt alternatives marketed to
circumvent the risk of high blood pressure and cardiovascular disease
associated with a high intake of sodium chloride[1] while maintaining a
similar taste. They usually contain mostly potassium chloride, whose
toxicity is approximately equal to that of table salt in a healthy person (
the LD50 is about 2.5 g/kg, or approximately 190 g for a person weighing 75
... 阅读全帖 |
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S*****4
发帖数: 153 | 8 【 以下文字转载自 Pre_Resident_Club 俱乐部 】
发信人: Sahara4 (ninimomo), 信区: Pre_Resident_Club
标 题: CK NBME form 2 block 3 Q2
发信站: BBS 未名空间站 (Tue May 31 15:24:20 2011, 美东)
A or C? CK super cow, would you please help for some expaination?
A 15-year-old girl is brought to the physician 3 months after she had a
blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic
and has no history of serious illness. Twelve months ago, she was
diagnosed with a uri... 阅读全帖 |
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L********r
发帖数: 37 | 9 2. A 15-year-old girl is brought to the physician 3 months after she
had a blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic and has no history
of serious illness. Twelve months ago, she was diagnosed with a urinary
tract infection and treated with oral trimethoprim-sulfamethoxazole.
She currently takes no medications. Subsequent blood pressure measurements
on three separate occasions since the last visit have been: 155/94 mm Hg,... 阅读全帖 |
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f****i
发帖数: 129 | 10 17. A 42-year-old woman comes for a follow-up examination.
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:
Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL
An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in man... 阅读全帖 |
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a****a
发帖数: 154 | 11 我只在med-surg实习过，现在记的仅限于书本有限记忆知识，列错了请更正我啊。
1. cardiac meds
digoxin，inocor,nitrate，nipride，tridil，beta blocker such as metoprolol，
ACEI such as captopril， enalapril， benzapril， calcium channel blocker
such as verapamil， nifedipine, ditiazem.
2 diuretics
lasix, ....不好意思，我得出门了，回来再尽量补充啊 |
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s****a
发帖数: 159 | 12 与现在相比，上世纪80年代的制药界相对简单，那时非专利药畅销的潮流尚未出现，品
牌药的竞争也远不及当前激烈，制药企业还无需为产品生命周期管理而绞尽脑汁，如火
如荼的DTC（直面消费者）广告还未广泛开展……从1981～2006年的25年间，全球制药
界到底走了多远？从历年来的里程碑事件中，或许能够找到答案。
1981年 首次检测出AIDS病毒
1981年6月5日美国疾病控制中心的每周发病率和死亡率报告公布了5例患者的具体症状
，此后被证实为AIDS患者。此次公布日期被官方认定为HIV/AIDS流行的起始时间。
首个ACE抑制剂上市
1981年，百时美施贵宝公司（Bristol-Myers Squibb）的卡托普利（captopril，
Capoten）获准用于治疗高血压和充血性心力衰竭，成为首个上市的血管紧张素转换酶
（ACE）抑制剂和首批口服抗高血压药之一。本品的上市是药物结构开发方面的重大突
破。此后10余年，ACE类药物迅猛发展，截至1997年，共计16种ACE抑制剂投入市场。
1982年 首个重组DNA产品上市
1982年，FDA批准了礼来公司（Eli Lilly）的重组人胰岛素 |
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v******V
发帖数: 314 | 13 【 以下文字转载自 Pharmaceutical 讨论区 】
发信人: sianna (交流), 信区: Pharmaceutical
标 题: zz 1981～2006年全球制药界25年大事回顾
发信站: BBS 未名空间站 (Wed Oct 25 16:17:05 2006), 站内
与现在相比，上世纪80年代的制药界相对简单，那时非专利药畅销的潮流尚未出现，品
牌药的竞争也远不及当前激烈，制药企业还无需为产品生命周期管理而绞尽脑汁，如火
如荼的DTC（直面消费者）广告还未广泛开展……从1981～2006年的25年间，全球制药
界到底走了多远？从历年来的里程碑事件中，或许能够找到答案。
1981年 首次检测出AIDS病毒
1981年6月5日美国疾病控制中心的每周发病率和死亡率报告公布了5例患者的具体症状
，此后被证实为AIDS患者。此次公布日期被官方认定为HIV/AIDS流行的起始时间。
首个ACE抑制剂上市
1981年，百时美施贵宝公司（Bristol-Myers Squibb）的卡托普利（captopril，
Capoten）获准用于治疗高血压和充血性心力衰竭，成为首个上市的 |
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c********y
发帖数: 33 | 14 准备第一步evaluation exam总结的，都是参考别的书的，也不是很全面，所以如果有
错误请多包
涵，如下：
Methyldopa —— galatorrhea, SLE
Levodopa - taste disturbance
Procainamide - SLE, agranulocytosis,torsade de points
Captopril - agranulocytosis
ACEI - taste disturbance, dark stool
Cyclosporin - acute gout, gingival overgrowth
Phenytoin - SLE, gingival overgrowth
Thiazide - SLE, pulmonary edema, gout
Sulfasalazine - Pulmonary fibrosis, SLE
Chlopramazine - SLE, seizure, dry mouth
Verapamil - galactorrhea, bradycardia
PTU - agranulocytosis, S... 阅读全帖 |
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l******k
发帖数: 27533 | 15 随便看了一眼，好像有不少问题呀。
提几个：
captopril 就是ACEI，为什么分开？主要问题是multi-dosing吧。
Niacin: flushing
thiazide:出要是electrolytes,当然还有lipid的问题。
自己看书确实比较难，看来读个pharm.D.还是有好处的。 |
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c****m
发帖数: 626 | 16 抛砖引玉吧，我也好久没有复习cardiovascular 了。
下面是我的思路：
BUN 24 elevated (8-20)
Scr 1.7 elevated (Females: 0.6-1.0 mg/dl )
BUN/Scr=14.1 (OK)
Glucose 145 elevated (73-115)
hct 30.2 decreased (37%-47%)
BNP 600>500
A1C is slightly elevated
EF of 34%.
BNP 42
Medications: (home medication list from local retail pharmacy)
1. Metoprolol tartrate 50mg daily (beta blocker)
2. Furosemide 20mg daily (Loop diuretics)
3. Pioglitazone 15mg daily(for diabetes)
4. Zocor 20mg daily (simvastatin)
5. Lantus 10 units subq at bedti... 阅读全帖 |
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w******e
发帖数: 42 | 17 start 25 mg captopril TID (Monitoring: looking for signs of hypotension (
dizziness, weakness).
Why you want to challenge the patient?
metoprolol tartrate is NOT apporved for CHF.
You are right about it. But in reality, some cardiologists do not care...
Since she has CHF now, beta blocker wouldn't be good choice.
Please refer the COMET trial.
she might need an anticoagulant due to her CHADS2 score being high.
Usually you do not need anticoagulation if pt do not have Afib and HF.
Please refer War... 阅读全帖 |
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