HTN Flashcards
The purpose of the one-time, 3-month certificate fo HTN
allow the driver with high BP that is an absolute
indication for antihypertensive drug therapy to continue to drive while taking steps to lower the elevated BP.
“One-time” means you cannot issue consecutive 3-month certificates for BP greater than 140/90.
It does not mean once in a lifetime.
For the driver with high BP or hypertension to maintain continuous certification, the driver must ___________
demonstrate at examination BP at or less than 140/90.
Stage&1 Hypertension Range
greater than or equal to 140/90 and less than 160/100.
The driver who is disqualified for the presence of high BP/uncontrolled hypertension should not be
considered for recertification until the BP is stabilized at __________
less than or equal to 140/90.
Treatment should be well tolerated before considering certifying a driver with a history of stage 3 hypertension.
Stage1 Hypertension max cert
Maximum certification period — 1 year OR one time for 3 months
Recommend to certify for 1 year if:
It is the first examination at which the driver has BP equivalent to stage 1 hypertension and the driver:
• Has no history of hypertension.
• Does not use antihypertensive medication to control
BP.
Recommend to certify one time for 3 months if:
The driver has:
• A 1-year certificate for untreated stage 1 hypertension.
• Not been prescribed antihypertensive medication to control high BP.
HTN disqualifications
Recommend not to certify if:
The driver has:
• A one-time, 3-month certificate for elevated BP or hypertension and BP greater than 140/90.
• A history of stage 3 hypertension and BP greater than 140/90.
• BP greater than or equal to 180/110, regardless of any other considerations.
The driver who is disqualified for stage 1 hypertension may be recertified for 1 year if BP is lowered to
less than ___________
140/90
The driver who is disqualified for stage 3 hypertension may be recertified for ___________ if BP is lowered to
less than 140/90 and medications are well tolerated.
6 months
The driver who is disqualified for stage 3 hypertension may be recertified for 6 months if BP is lowered to
less than 140/90 and medications are well tolerated.
x
Stage 2 Hypertension Range
160/100 –> 180/110.
Stage 2 Hypertension max certification
Maximum certification period — One time for 3 months
S2: 160/100 –> 180/110.
Stage 3 Hypertension range
greater than or equal to 180/110.
Stage 3 Hypertension Max certification
Maximum certification period — 6 months with history of stage 3 hypertension