HTN

Question 1

What labs to get for newly diagnized HTN?

hint: two serum, two fasting, one pee, one heart

Answer 1

• Serum K
• Serum Cr
• Fasting glucose
• Fasting lipid
• UA
• ECG

Question 2

Which 3 factors to consider when Rx HTN meds?

Answer 2

Age, DM, and CKD

Question 3

For general population (no DM, no CKD), age > 60, what is the BP management goal?

Answer 3

150/90

Question 4

For general population (no DM, no CKD), age

Answer 4

Ethnicity - black or note

Question 5

For general population (no DM, no CKD), age

Answer 5

140/90

Question 6

For general population, non-black individual, Rx?

Answer 6

• start with HCTZ OR: ACEi, ARB, CCB

Question 7

For general population, black individual, Rx?

Answer 7

• start with HCTZ

- CCB is alternative, but no ACEi, or ARB

Question 8

How is a DM patient complicated the RX choice for HTN?

Answer 8

If no CKD - management goal 140/90 for all ages, treatment strategy the same (black and non-black)

Question 9

How is a CKD patient with or without DM complicated Rx choice for HTN

Answer 9

• Treatment goal 140/90

- Starting therapy is ACEi or ARB

Question 10

How to Dx of HTN

Answer 10

If clinical BP > 140/90, measure again twice during patient’s waking hours
If home measurement, take average of 14 measurements