Guided Readings (HTN and Dyslipidemia)

Question 1

Patient self BP check

Answer 1

May consider if pt. is a smoker

-Pts. lack evidence off target organ disease in clinic

Question 2

Ambulatory BP Monitoring

Answer 2

Provides BP info during daily activities; should see higher levels while awake and active and lower when sleeping

**Used in pts. who exhibit “White Coat HTN,” drug-resistant HTN, and autonomic dyfnxn

-Uses a microphone to listen to Korotkoff sounds; typically, pts. will return w/ lower readings than seen in the clinic

***Better correlates w/ target organ injury

Question 3

HTN Lifestyle modifications `

Answer 3

1. Weight loss: 5-20mmHg reduc.
2. DASH diet: 8-14mmHg
3. Cardio: 2-8mmHg
4. Decreased Na intake: 2-8mmHg
5. Decreased EtOH: 2-4mmHg

Question 4

Tx of Uncomplicated HTN

Answer 4

Diuretics

Question 5

Tx of HTN w/ Diabetes

Answer 5

ACEIs or ARBs

Question 6

HTN w/ MI

Answer 6

B-blockers

Question 7

HTN w/ Systolic Heart failure

Answer 7

ACEIs of ARBs

Question 8

Compelling indications for tx of HTN

Answer 8

Acute MI (past or high risk)

CVA

Diabetes

CAD

Chronic Renal Insufficiency

Question 9

Who get’s evaluated for secondary HTN?

Answer 9

When HTN presents early, there is a family history, or if there current HTN is uncontrollable