GP ILAs - 1 and 2 Flashcards
HTN classification
Stage 1
- Clinical BP > 140/90
- HBPM > 135/85
Stage 2
- Clinical BP > 160/100
- HBPM > 150/95
Stage 3
- Clinical BP > 180/110
HTN additional investigations
U/E - Check renal function
HbA1c
Lipids
ECG
Urine dip
HTN management
Non-Afro-Caribbean
< 55
Step 1 - ACE-I or A2RB
Step 2 - ACE-I + CCB
Step 3 - ACE-I + CCB + Diuretic
Step 4
- K+ < 4.5 - Spironolactone
- K+ > 4.5 - AB or BB
HTN management
Afro-Caribbean
> 55
Step 1 - CCB
Step 2 - CCB + ACE-I
Step 3 - CCB + ACE-I + Diuretic
Step 4
- K+ < 4.5 - Spironolactone
- K+ > 4.5 - AB or BB
HTN drugs side-effects
ACE-I - DRY COUGH
CCB - Ankle swelling
Diuretic - Hyponatraemia
A2RB - Hyperkalaemia
Heart failure management
- ACE-I or BB
2. Spironolactone or A2RB or Hydralazine
Heart failure diagnosis
B-type natriuretic peptide - BNP
Reasons for increase in BNP…
- LVH
- Ischaemia
- Tachycardia
Reasons for decrease in BNP…
- Obesity
- Diuretics
- BP medication
Heart failure prevention
Primary
- Diet
- Exercise
- Smoking cessation
Secondary
- HTN/DM/CKD management
Tertiary
- PCI
- CABG
Immunisations
2 months
6 in 1
- Diptheria
- Tetanus
- Polio
- Pertussis
- HiB
- Hep B
Rotavirus
PCV
Meningitis
Immunisations
3 months
6 in 1
- Diptheria
- Tetanus
- Polio
- Pertussis
- HiB
- Hep B
Rotavirus
Immunisations
4 months
6 in 1
- Diptheria
- Tetanus
- Polio
- Pertussis
- HiB
- Hep B
PCV
Meningitis B
Immunisations
12-13 months
HiB
Meningitis B
Meningitis C
PCV
MMR
Immunisations
2-8 years
Flu vaccine - Annually
Immunisations
3-4 years
4 in 1 - Pre-school booster
- Diptheria
- Tetanus
- Polio
- Pertussis
Immunisations
12-13 years
HPV
6, 11, 16, 18
