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 🎶