Hypertension Flashcards
- CFR 391. 41 b 6
Physical qualifications bp
49 CFR 391.43
Blood pressure medical examination guidelines
CMV drivers at greatest risk for
Htn
How do you define hypertension
Which ever measurement systolic or dystolic is highest
Stage 1 HTN
140-159/90-99
Two certification options for stage 1
1 year- stage 1 no hx no medication
3 months - given 1 yr certification for stage 1 HTN untreated. Whether or not taking medications
BP meds well tolerated no side effects
Recertification of stage 1 HTN
Yearly
BP below 140/90
3 month cert - hx of stage 1 BP greater 140/90 less than 180/110
Stage 2 HTN
160-179/100-109
Stage 2 certification
Max. Cert 3 months
When can you use a 3 month certification with stage 2 htn
Can use with no hx of HTN and not taking meds
Hx of HTN tolerated meds
Can’t cert stage 2 HTN
Given 3 month cert previously
Disqualifying until under 140/90
Has to be medicated
Stage 3 HTN
Greater 180/110
Stage 3 HTN certification
Disqualifying
Has to be less than 140/90
Max cert 6 months
3 month certification HTN
BP equals stage 2
Stage 1 HTN for one year has not achieved optimal bp
Stage 1 HTN who is not on tx
1 year
Stage 1 HTN who is on tx
3 month cert
Stage 2 HTN not on tx
3 month cert
Stage 2 HTN on tx
3 month cert
3 month cert and continued stage 1
Not achieved optimal BP disqualified until optimal bp
BP 140/90 two times
The medical examiner may obtain additional readings or use clinical judgements and consider BP and overall driver medical fitness for duty to determine certification status/period
A 3 month certification can be used only once in a lifetime
No
Maximum certification for stage 3 HTN is
6 months
