Guideline Overivew Flashcards
Your HTN patient is over 80, what is his BP goal?
< 150/90 mmHg (Anderson’s compilation slide)
Your HTN patient is a young, otherwise healthy adult, what is his BP goal?
< 140/90 (Anderson’s compilation slide)
Your patient has HTN and type II diabetes, what is his BP goal?
< 140/80 (Anderson’s compilation slide)
Your patient has both type II diabetes and CKD (with urine albumin exceretion > 30 mg/ 24 hr), what is her BP goal?
< 130/80 (Anderson’s compilation slide)
You patient is an otherwise healthy Caucasian male with newly diagnosed HTN. What classes of drugs would be first line?
Thiazide type diuretic, CCB, ACEI or ARB.
Your patient is an otherwise healthy African American woman with newly diagnosed HTN, what classes of drugs are first line options for her?
Thiazide type diuretic or CCB.
Define stage 1 HTN
140-159/ 90-99 mmHg
Define Stage II HTN
160/100 mmHg or greater
Your patient has stage 1 HTN. You should:
A. Recommend pharmacological treatment.
B. Recommend lifestyle changes
C. Either A or B, depending on the patient.
C. Either.
What classes of drugs should a HTN pt with symptomatic HF be on?
An ACEI or ARB, + beta blocker + diuretic + spironolactone. (+/- dihydropyridine CCB depending on BP)
When should you consider initiating HTN therapy with 2 drugs?
When BP is more than 20/10 mmHg above goal. (Use caution in pts at risk of hypotension.)
How often should patients with uncontrolled HTN return for follow-up and adjustment?
Monthly. (although some labs should be drawn at closer intervals). And more frequent visits may be needed for pts with stage 2 htn or with complicating conditions.
Pre- HTN
120-139/ 80-89
Causes of secondary HTN
Sleep apnea, drug induced, CKD, Aldosteronism, renovascular disease, cushing syndrome, Pheochromocytoma, thyroid or parathyroid disease.
Examples of target organ damage
Left ventricular hypertrophy, angina, MI, Coronary revascularization, HF, Stroke, TIA, CKD, PAD, Retinopathy
