Intern Pocket Cards - Inpatient Blood Pressure Management Guide

ß-blockers:

 • Metoprolol, Carvedilol, Labetalol

 • Bradycardia, heart block, ADHF, COPD exacerbation

ACEl/ARBs:

 • Captopril, Enalaprilat (IV), Lisinopril, Valsartan

 • AKI, hyperkalemia, angioedema

Alpha-2 agonists:

 • Clonidine

 • Severe bradycardia

Nitrates:

 • Isosorbide dinitrate

 • Severe AS, PDE inhibitor use

Calcium Channel Blockers (CCBs):

 • Nifedipine ER, Diltiazem, Amlodipine

 • HFrEF, For non-dihydropyridines: Bradycardia, heart block

Diuretics:

 • Chlorthalidone, Hydrochlorothiazide, Spironolactone

 • AKI, hypovolemia, difficulty with transferring to urinate

Vasodilators:

 • Hydralazine

 • Can develop severe reflex tachycardia due to the unpredictable drop in SBP

Non-selective alpha-blockers:

 • Phentolamine

 • Can develop severe reflex tachycardia due to the unpredictable drop in SBP

Partial D1 agonists

 • Fenoldopam

 • Glaucoma



Dr. Satya Patel @SatyaPatelMD

Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset



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