Htn Flashcards
offer calcium, magnesium, or
potassium supplements as a method for
reducing blood pressure.
Noooo
Follow up labs for htn
Test for protein in the urine by estimation of the
albumin: creatinine ratio.
• Measure glycated hemoglobin (HbA1C), electrolytes,
creatinine, estimated glomerular filtration rate, total
cholesterol, and HDL cholesterol
• Examine the fundi for the presence of hypertensive
retinopathy
• Arrange for a 12-lead electrocardiograph to be
performed.
• Follow up should be initially every 1-4 weeks till BP is
controlled then every 3 -6 months if controlled &
monthly if uncontrolled.
If a recent weight loss of a hypertensive, patient taking beta blocker how would you manage the dose
Reduced
You suspect hypertension– what would you
do next?
Take a second measurement during
the consultation.
• If the second
measurement is substantially different
from the first, take a third
measurement. Record the lower of the
last 2 measurements as the clinic
blood pressure.
What to do if the office blood pressure is between?140/90——180/120
Offer ambulatory blood pressure monitoring or home blood pressure monitoring to confirm a diagnose
How to avoid whitecoat effect or mask, hypertension
Boy offering ambulatory blood pressure monitoring or blood pressure monitoring
How would you follow up with the blood pressure?
1 to 4 weeks till blood pressure is controlled then every 3 to 6 months if controlled if not controlled the monthly
How much is the cuff should in circles the arm
80%
American normal
Listen, 120 less than 80
Elevated American
120-129. Less 80
American hypertension stage one
130-139
80-89
Hypertension stage two American
140 or more
90 or more
Is it systemic hypertension is isolated
Systolic 140 or more diastolic less than 90
European society of hypertension grades
Measuring the blood pressure in supply and understanding position for at least one minute before the measurement if the pressure falls by 20 or more, it is what is the postal hypertension? For whooooom
Type two diabetes,, age more than 80 symptoms of postal hypertension=
How to confirm his diagnosis of hypertension, according to the European society
Office 140 per 90
Home or ambulatory 135B 85
How to confirm according to the American
Clinical male 130 per 80
And or home 130 per80
Mention the best proven non-pharmacological interventions for treatment of hypertension
Weight loss for 1 kilogram 1 mm HG decrease
Healthy diet – diet
Reduce sodium intake less than 1500. It is the optimal.
But in for at least 1000 reduction
Increase potassium for 3500 to 5000
