Hypertension- routine testing

Question 1

Women of child bearing age should be asked about _

Answer 1

pregnancy- if unsure do test before starting treatments

Question 2

What 5 routine tests should be done on all patients with HTN

Answer 2

• Urinalysis
• Blood chemistry (K, Na, Creat)
• FBG or A1C
• Lipid panel fasting or not
• 12 lead ECG

looking for potassim/sodium imbalance, renal disease, diabetes, CV risk

also monitoring for becoming pregnant

Question 3

For ACE-I what labs are important to check

*

Answer 3

CR and K

can increase K by reducing aldosterone secretion, impacts kidney fx

Question 4

When a ACE-I is stopped what may happen to kidney function in people with impaired kidney fx

Answer 4

acute increase in creatinine d/t removal of vasodilation effect

Question 5

What should be assessed in diabetic patients with HTN

Answer 5

urinary albumin excretion

to detect for renal complications

Question 6

All hypertensive pts should be monitoried for the development of _

Answer 6

diabetes

Question 7

During the maitenance phase of HTN management how often should routine tests be done?

Answer 7

as often as clinically indicated

Question 8

When should a pregnancy test be considered

2

Answer 8

before medication
before health behaviour mod

Question 9

Are routine echos recommended?

Answer 9

no

Question 10

HTN patients with evience of HF need

Answer 10

echo or nuclear imagine for evaluation of LVEF

Question 11

Who needs an echo

3

Answer 11

pts with LV dysfunction
pts with CAD
Pts with HF

Question 12

When should adults be screening for HTN?

Answer 12

at all appropriate primary care visits