Hypertension

Question 1

BP > 140/90? What do you offer?

Answer 1

Ambulatory BP monitoring
Home BP monitoring

Question 2

Following ABPM or HBPM if BP < 130/85 what do you do?

Answer 2

Monitor for now, not hypertensive

Question 3

Following ABPM or HBPM if BP > 135/85
- What stage HTN is this?
- What do you do?

Answer 3

Stage 1 HTN

OFFER DRUG TREATMENT if <80 and:
Target Organ Damage
Diabetic
Cardio or renal disease
10 Yr Cardiovascular risk 10% or more

Question 4

Following ABPM or HBPM if BP > 150/95
- What stage HTN is this?
- What do you do?

Answer 4

Stage 2 HTN

Treat all patients, regardless of age

Question 5

<55 years or Type 2 diabetes HTN Management

Answer 5

1. A
2. A + C or A + D
3. A + C + D
4. K <= 4.5 Spironolactone
   K >4.5 Alpha or Beta Blocker

4 or more medications needs specialist review

Question 6

> 55 + no diabetes or Afrocaribean HTN Management

Answer 6

1. C
2. A + C of C + D
3. A + C + D
4. K <= 4.5 Spironolactone
   K >4.5 Alpha or Beta Blocker

4 or more medications needs specialist review