08 HTN

Question 1

USPSTF screen bp

Answer 1

screen high bp in 18+

obtain measurements outside clinic before starting tx

Question 2

if new dx htn

Answer 2

assess for target end organ ds (heart, brain, kidneys, blood vessels, eyes)

assess lifestyle and other risk factors

reveal other possible causes

Question 3

criteria dx htn

Answer 3

at least two elevated measurements (5 min apart in diff arms) on two or more visits

not if ill or in pian

Question 4

how right cuff

Answer 4

at least 80% of arm circumfrence

Question 5

thiazide points

Answer 5

25 mg most effective (50 mg not more)
labs to monitor low Na and K
may make gout worse
firstline

Question 6

when to start asa

Answer 6

start in 50-59 if 10% or greater ASCVD risk , not at risk of bleed, life expectancy 10+ years, willing to take for at least 10 years

Question 7

target bp

Answer 7

<130/80 with dx of htn

Question 8

ace-i points

Answer 8

hyperkalemia risk
angioedema
cough
not in pregnancy

Question 9

arbs

Answer 9

hyperkalemia
angioedema
not in pregnancy

less cough

Question 10

calcium channel blockers points

Answer 10

dose-related pedal edema

Question 11

when to refer to nephrologist or cardiologist

Answer 11

when max doses 3 meds
no other cause
seeing end organ damage