Hypertension- follow up Flashcards
If at visit patient is not dx’d with HTN and has no evidence of target organ damage when should BP be assessed next?
Yearly intervals
HTN patients actively modifying their health behaviours should be followed at _ intervals
3-6 month intervals
Which HTN patients modifying their health behaviours need to be followed more closely than 3-6 month intervals?
pts with higher BP
q1-2 months
Pts on antihypertensive drug treatment who are not at target should be seen how often?
1-2 months until readings on 2 consecutive visits are below target
For patients on antihypertensive treatments who are not at target when are visits required more often than 1-2 months?
4
symptomatic patients
severe HTN
intolerance to antihypertensive drugs
target organ damage
For antihypertensive patients at target how often should they be seen?
3-6 months
What in office BPM should be used for f/u
standard OBPM
What BP device should be used for patients with white coat?
ABPM or HBPM
What should be done for patients on antihypertensives when you suspect office-induced increase in BP for the folowing pts:
- pts who BP is not at target despite chronic therapy
- symptoms of hypotension
- fluctuating office BP readings
ABPM
What should be taken into account when deciding to prescribe or withhold meds based on ABPM
why
magnitude of changes in nocturnal BP
What significance does a decrease in nocturnal BP of <10% have?
decrease in nocturnal BP <10% is assocaited with increased risk of CV events
What 6 patients should the regular use of HBPM be considered for?
Uncontrolled HTN
DM
CKD
Suspected nonadherence
White coat
Masked HTN
What should HCPs do when teaching patients how to measure home BP
2
- be observed to ensure they know how to measure properly
- be given adequate info about interpreting readings
