Hypertension and Blood Pressure Rates Flashcards
Mild hypertension
140/90 - 160/100
Refer if major risk factors and no improvement after 3 months.
If no major risk factors refer only if you think factors such as smoking or hyperlipidaemia has increased risk of cardiovascular implication.
In the over 80’s only refer if pressure is >160/90 for 3-6 months.
A12.5
Moderate hypertension
*
160/100 - 180/110
Refer if not responding after 4 weeks of treatment if no other risk factors present. If other risk factors present refer straight away.
Current medical guidelines suggest referral if no improvement over 4-12 weeks and referral after 4 weeks if no improvement and risk factors present.
If >80 referral advised if bp exceeds 160/90 for 3-6 months.
A12.4
Severe hypertension
Anything above
180/110
*
Refer if not responding after 2 weeks or straight away if risk factors present.
A12.3
Seriously high hypertension
220/120
**
Refer as high priority to prevent stroke or cardiovascular event.
A12.2
Malignant hypertension
> 120 diastolic with symptoms such as headaches, blurred vision and chest pain.
*/
At a certain level hypertension leads to a negative cycle of increasing vascular damage and worsening hypertension. It carries a high risk of stroke and other cardiovascular events. Visual disturbances and headaches are serious signs
A12.1
Hypertension with diabetes
**/*
At any level refer as cms states bp should be maintained below 130/80 due to high risk of vascular and kidney complications
A12.6
Hypertension with kidney disease
**/*
Always refer as bp should be maintained below 130/80 in people with kidney disease due to greater risk of worsening kidney damage.
12.7
Hypertension in pregnancy
**
Always refer due to increased risk of pre eclampsia and placental damage.
12.8
Normal blood pressure range
120-140 systolic 80-90 diastolic
