Hypertension

Question 1

When do you need to measure blood pressure?

Answer 1

1. Annual exam
2. Patient has history of hypertension
3. Patient undergoes invasive surgical procedure (pre and post op recordings)

Question 2

Reproduce JNC 7 HTN Guidelines

• Normal
• Pre-HTN
• HTN - Stage 1
• HTN - Stage 2

Answer 2

Normal - Systolic (mm Hg): <120 - Diastolic (mm Hg): <80
Pre-HTN - 120-139 - 80-89
HTN (Stage 1) - 140-159 - 90-99
HTN (Stage 2) - > or = 160 - > or = 100

Question 3

Reproduce JNC 8 Recommendations / Goals
 Patient Subgroup (Target SBP and DBP)
 for greater than or equal to 60 y/o
Less than 60 y/o
Greater than 18 y/o with CKD
Greater than 18 y/o with diabetes

Answer 3

• < 150 and < 90
• < 140 and < 90
• < 140 and < 90
• < 140 and < 90

Question 4

How does HTN affect our management of patients?

• Normal BP
• Pre-HTN
• Stage 1 HTN
• Stage 2 HTN
• > 180 or > 110
• > 210 or 120

Answer 4

• No modifications
• Discuss risk factors
• Take BP
• Take BP and limit episode
• Consult prior to Urgent Care; Refer today
• Immediate referral

Question 5

Oral Effects of HTN agents?

Answer 5

• Xerostomia
• Gingival enlargement (Calcium channel blockers like nifedipine)
• Lichenoid Reactions (Ace inhibitors like lisinopril)

Question 6

HTN Risk factors (8) - 2 uncontrolled, 6 controlled

Answer 6

• Age
• Family history
• Obesity
• Physical activity
• Alcohol
• Diet
• Dietary sodium

Question 7

Most common etiology of Hypertension is?

Answer 7

Unknown