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Aktivitas
Retensi Penurunan Renin Perubahan
berlebih Hiper-
natrium permukaan angiotensin membran
saraf insulinesmia
ginjal filtrasi berlebih sel
simpatis
↑ Volume Konstriksi
cairan vena
Konstriksi Hipertrofi
↑ Preload ↑ Kontraktilitas struktural
fungsionil
TEKANAN TAHANAN
=
CURAH
DARAH JANTUNG X PERIFER
Autoregulasi
Standard work-up
• HTN • Inactivity
• Obesity • Age:
• Hyperlipidemia >55 in men
>65 in women
• Diabetes
• Fam history of
• Cigarette premature CVD
Smoking
Complications
Optimize dosages or add additional drugs until goal blood pressure is achieved.
Consider consultation with hypertension specialist.
• Chlorothiazide (Diuril)
• Chlorthalidone
• Hydrochlorthiazide(Microzide,
Hydrodiuril)
• Polythiazide (Renese)
• Indapamide (Lozol)
• Metolazone (Mykrox,
Zaroxolyn)
• Bumetanide (Bumex)
• Furosemide (Lasix)
• Torsemide (Demadex)
Potassium-sparing Diuretics
•Amiloride (Midamor)
•Triamterene (Dyrenium)
*All trade / brand / generic names are specific to the USA
Aldosterone Receptor Blockers
• Eplerone (Inspra)
• Spironolactone (Aldactone)
• Candesartan (Atacand)
• Eprosartan (Tevetan)
• Irbesartan (Avapro)
• Losartan (Cozaar)
• Olmesartan (Benicar)
• Telmisartan (Micardis)
• Valsartan (Diovan)
• Hydralazine (Apresoline)
• Minoxidil (Loniten)
• Clonidine (Catapres)
• Methyldopa (Aldomet)
• Reserpine (generic)
• Guanfacine (generic)
Lifestyle Modification
Not at goal BP
Pengobatan Awasi 1-3 jam Awasi 3-6 jam Pasang IV, Pmx Lab,
mulai/teruskan obat obat oral dg terapi lewat IV
oral, naikkan dosis jangka kerja
pendek
Rencana Periksa ulang dalam Periksa ulang Rawat ruangan /ICU
3 hari dalam waktu 24
jam
Buku Ajar Ilmu Penyakit Dalan jilid II
Obat hipertensi oral yang sering digunakan di
Indonesia
Obat Dosisi Efek Lama Efek
kerja samping
Nifedipin 5- Diulang 15 5-15 4-6 jam Gangguan koroner
10 mg menit menit