By vgreene, 1 November, 2019 CKD. If Stage 3+ CKD or Stage 1/2 w/ albuminuria:1,2 ACEI (or ARB).1 For diuretics: If GFR
By vgreene, 1 November, 2019 DM. ACEI/ARB,1 dihydropyridine CCB,1 thiazide-like diuretics (chlorthalidone, indapamide preferred), per ADA2
By vgreene, 1 November, 2019 CVA TIA Thiazide diuretic ACEI ARB or thiazide diuretic ACEI combo if still not at individualized goal may add CCB and or MRA1
By vgreene, 31 October, 2019 HF Treat volume overload w loop diuretics plus more agents if needed HFrEF Use ACEI ARB1 or ARNI along w certain BBs 5 MRAs 5 don t use nondihydropyridine CCB 1 HFpEF ACE ARB 1 certain BBs 5 MRAs5
By vgreene, 31 October, 2019 Choose 1st line drug 1 2 thiazide diuretic ACEI ARB 1 CCB factoring conditions plus lifestyle 1 If SBP 140 or DBP 90 while 20 10 over target use 2 drugs w differing1 actions but caution in older pts darr BP orthostatic hypotension risks per ACC AHA ADA2 2
By vgreene, 31 October, 2019 CAD Certain BB ACEI ARB If angina add dihydropyridine CCB to BB if needed If hx MI ACS Continue BB and use ACEI ARB if still not at goal add dihydropyridine CCB thiazide diuretics eg chlorthalidone and or MRA1