Hypertension - Presentation & Management

Question 1

What is the initial management of a patient with newly diagnosed Hypertension?

Answer 1

Advice on lifestyle advice - Exercise more, reduced salt intake, loosing weight

Question 2

What is the drug therapy for a patient who is younger than 55 years old with Hypertension?

Answer 2

An ACE inhibitor, may use Angiotensin II receptor antagonist if ACEi intolerant

Question 3

What is the drug therapy for a patient who is 55 years old or older or Afrocaribbean with Hypertension?

Answer 3

Calcium channel blocker

Thiazide like diuretic

Question 4

Why are patients of African or Caribbean descent less able to tolerate ACEi?

Answer 4

Lower levels of renin

Question 5

What is the suggested second line drug treatment for Hypertension?

Answer 5

ACEi & Calcium channel blocker
Or
ACEi & Thiazide like diuretic

Question 6

What is the suggested third line drug treatment for Hypertension?

Answer 6

ACEi & Calcium channel blocker & Thiazide like diuretic

Question 7

If third line drug treatment cannot control Hypertension, what add on therapy can be used?

Answer 7

More diuretics
Alpha blockers
Beta blockers
Refer to specialist

Question 8

What are some of the symptoms of Hypertension?

Answer 8

Generally no symptoms. Can get;
Headaches
Blurred/double vision
Epistaxis
Tiredness 
SOB

Question 9

What are some of the complications of uncontrolled Hypertension?

Answer 9

Stroke
MI
Renal disease (CKD)
DVT/Embolism
Aneurysms