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LIst of prescription medications that elevate blood pressure

December 23, 2012

  • Corticosteroids
  • NSAIDs
  • Tacrolimus
  • Cyclosporine
  • Erythropoetin
  • Tricyclic antidepressants
  • Serotonin Norepinephrine reuptake inhibitors (Venlafalaxine)
  • MAO inhibitors
  • Oral contraceptives
  • Tylenol

Source: http://hopkinsilc.org

Continue with a question in hypertension.

Your first patient of today’s clinic is Penny Pingleton, a 33-year-old woman who presents with a 3 day history of rhinorrhea, cough and sore throat. Her six-year-old son has similar symptoms. Mrs. Pingleton’s past medical history is otherwise unremarkable. Medications include pseudoephedrine for the past three days, as well as oral contraceptives. Family history is notable for hypertension in both parents and diabetes in her father.

On physical examination, Mrs. Pingleton appears well. VS: T37.4 P80 R12 BP132/84. HEENT examination is normal; clear mucus is noted in the posterior pharynx. There is no adenopathy. Chest exam reveals clear lungs, and cardiovascular examination is normal. The remainder of the exam is unremarkable.

You diagnose the patient with a viral URI, and then turn your attention to her blood pressure. Which ONE of the following statements is true?

a). Pseudoephedrine, diphenhydramine, steroids, and cyclosporine all increase blood pressure.
b). When using home blood pressures to evaluate a patient, hypertension is diagnosed when systolic blood pressure is sustained above 135mm Hg, or diastolic blood pressure remains above 85mm Hg.
c). Stage 1 hypertension is diagnosed if the systolic blood pressure is 130-150mm Hg and the diastolic blood pressure is >90mm Hg.
d). To diagnose someone with Stage 2 hypertension, their diastolic blood pressure must be at least 110mm Hg, regardless of their systolic blood pressure.
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One Comment leave one →
  1. December 23, 2012 2:59 pm

    The correct answer is B: When using home blood pressures to evaluate a patient, hypertension is diagnosed when systolic blood pressure is sustained above 135mm Hg, or diastolic blood pressure remains above 85mm Hg.

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