On the first line of treatment, my patient gave to me…
🎶 Thiazide diuretics—Na⁺ loss, BP ↓
On the second line of treatment…
🎶 ACE inhibitors block Ang II
↓ Aldosterone, ↑ Bradykinin
Watch for cough, K⁺ high, angioedema
On the third line of treatment…
🎶 ARBs block AT₁
No bradykinin, cough-free win
Same K⁺ risk, kidneys beware
On the fourth line of treatment…
🎶 Beta-1 blockers slow the heart
↓ HR, ↓ contractility, ↓ renin start
Post-MI, HF—mortality smart
On the fifth line of treatment…
🎶 Calcium channel blockers!
DHPs vasodilate (edema, flush)
Non-DHPs slow AV node—bradycardia rush
On the sixth line of treatment…
🎶 Loop diuretics dump Na⁺ fast
CHF, edema—powerful blast
Ototoxic, K⁺ loss—check labs
On the seventh line of treatment…
🎶 Aldosterone antagonists
K⁺-sparing, HF assist
Gynecomastia—spirono twist
On the eighth line of treatment…
🎶 Alpha-1 blockers relax veins
BPH help, but ortho pain
“First-dose syncope” remains
On the ninth line of treatment…
🎶 Central alpha-2 agonists
Clonidine lowers CNS drive
Rebound HTN if stopped—not wise
On the tenth line of treatment…
🎶 Direct vasodilators go
Hydralazine, minoxidil show
Reflex tachy—add beta though
On the eleventh line of treatment…
🎶 Renin inhibitors stop it first
Aliskiren quenches the thirst
No pregnancy—placenta cursed
On the twelfth line of treatment…
🎶 HTN emergencies IV
Nitroprusside, labetalol—relieve
Lower slow, don’t crash the BP 🎶