心脑血管疾病用药知识问答（Cardiovascular disease medication knowledge quiz）.docVIP

心脑血管疾病用药知识问答（Cardiovascular disease medication knowledge quiz） Questions and answers on cardiovascular rational drug use series (1-10) Cellular Xu Zhimin Fuwai Hospital of Cardiovascular Disease of Chinese Academy of Medical Sciences 1: hypertension reasonable selection of drugs, what are the main points worthy of attention? 1) definite diagnosis Scientific assessment: the condition is dangerous, Effect / risk / effect / price ratio, Guideline guidance + patient intentionality, Develop and implement reasonable clinical decisions 2) risk stratification After comprehensive evaluation of the above information, High, medium, and low risk stratification, Develop personalized treatment options 3) grasp the evidence of cardiovascular drug cluster characteristics Statins, statins, perindopril, amlodipine, candesartan, etc. The type, effect, and drug effect of drugs Choose the right medicine and how to use it 4) pay attention to combining the guide with experience To compliance, more than 2 kinds of antihypertensive drugs used as soon as possible; RAS antagonists (ACEI, /ARB) and / or calcium antagonists (CCB) were selected as main agents, Diuretics and / or beta blockers are used as adjuvants, Resistant hypertension can be treated with more drugs 5) correct measurement and evaluation of changes in blood pressure 2: hypertension, rational choice of drugs Basic principle (1) implement the guidelines, grasp the direction, specific patient specific analysis: Comprehensive assessment of the disease and risk factors, medication, scientific decision-making, formulate a rational drug use program, Persist for a long time (2) the degree of treatment matched with the severity of the disease: The more dangerous, the more should strengthen the blood pressure, Such as coronary heart disease risk: 160/100 mmHg, more than 2 small dose drug combination standards as soon as possible, to maintain the exploration program. (3) do not lower blood pressure to low (3-4mg/dl) and high potassium (5.