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분야
pptx일반적 치료 (비약물 치료)
약물 치료
치료 원칙
Medical guideline
CEI / RB
- blocker
a+ channel blocker
iuretics
고혈압의 응급
약제 : Propranolol, Nadolol, Metoprolol, Esmolol
작용 : Sympathetic activity ↓, CO ↓, CNS effect ↓, renin release ↓
부작용 : Diabetogenic potential
금기 : 당뇨
a+ channel blocker
약제 : Nifedipine, Nicardipine, Verapamil, Diltiazem
작용 : vascular resistance ↓ (vasodilation)
부작용 : Flushing, headache, edema
금기 : MI, heart failure
iuretics
약제 : (Low dose)Thiazide
작용 : Na 배출 ↑, vasodilation, ACEI나 ARB나 β-blocker와 병용시 효과 ↑
부작용 : Hypokalemia, 지질대사 장애, Ca+ channel blocker 와 병용시 효과 ↓
금기 : Hyperlipidemia
Pacific Cardiology, 2009, Hypertension.
Papadakis, Maxine A, 2008, Current Medical Diagnosis and Treatment, McGrawHill Professional.
