Clinical management hypertension Flashcards

1
Q

Measure blood pressure

A
  • Relaxed, temperate setting, with the person quiet and seated and their arm outstretched and supported
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2
Q

Disadvantages of automated device

A
  • When there is pulse irregularity
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3
Q

Pulse

A
  • Should be strong and regular
  • Take brachial and radial pulse
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4
Q

Measuring BP between arms

A
  • Differences between arms are more than 15mmHg use higher side
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5
Q

Which reading do you choose

A

> 140/90 mmHg take two more readings and record the lower of the readings

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6
Q

Ambulatory BP monitoring

A
  • Cuff readings are taken every half an hour
  • Take the average of systolic and diastolic and the pulse
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7
Q

Home BP monitoring

A
  • Thake four readings a day
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8
Q

Clinical diagnosis reading

A
  • > 140/90 mmHg
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9
Q

Home monitoring BP reading

A
  • > 135/85 mmHg
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10
Q

Stage 1 hypertension

A
  • Blood pressure ranges from 140/90 mmHg to 159/99 mmHg
  • ABMP 135/85 mmHg to 149/94 mmHg
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11
Q

Stage 2 hypertension

A
  • Clinical blood pressure 160/100 mmHg but less than 180 /120 mmHg
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12
Q

Stage 3 hypertension

A
  • Blood pressure higher than 180/120 mmHg
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13
Q

Target organ damage

A
  • Test for hematuria
  • Urine albumin: creatinine ratio
  • HbA1C test for diabetes
  • Examine fundi
  • GRF, electrolyte and creatinine
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14
Q

After hypertension check

A
  • Information about their absolute risk of CVD and
    about the absolute benefits and harms of an intervention
    over a 10‑year period
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15
Q

Risk factor modifiable

A
  • Smoking
  • Cholesterol
  • BMI
  • Blood pressure
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16
Q

Counselling for ACE inhibitor

A
  • Take first dose sitting down or before bed
  • ACE inhibitor should be titrated up to control BP to
    target
17
Q

Counselling for ARB

A
  • Take first dose sitting down or before bed
  • Titrate the dose
18
Q

When do you use a thiazide like diuretic

A
  • Usually used as a third line treatment as dose cannot be titrated
19
Q

Beta blockers side effect

A
  • Example atenolol
  • Bradycardia
  • Caution for diabetes