Patient Management and Guidelines

Question 1

What are ABPM and HBPM?

Answer 1

1) Automatic blood pressure monitor
2) Home blood pressure monitor - targets are 5mmHg lower than for ABPM

Question 2

What is the target for under 80s?

Answer 2

<140/90mmHg

Question 3

What is the target for over 80s?

Answer 3

<150/90mmHg

Question 4

What is the step 1 treatment for people with type 2 diabetes?

Answer 4

ACEi or ARBs

Question 5

What is the step 1 treatment for people of African Caribbean origin?

Answer 5

Calcium channel blocker

Question 6

Why are people of African Caribbean origin recommended ACEi or ARBs?

Answer 6

They produce less renin, making ACEi or ARBs less effective.

Question 7

What is the first step treatment for people aged over 55?

Answer 7

Calcium channel blockers

Question 8

Why do you start treatment on CCB if you are over 55?

Answer 8

Production of renin decreases as you get older

Question 9

What is step 2 treatment following step 1 being ACEi or ARBs

Answer 9

ACEi or ARB + CCB or thiazide

Question 10

What is the step 2 treatment following step 1 being CCB?

Answer 10

CCB + ACE or ARB or thiazide