UW revision HTN (labs, Dx algo, DASh table) Flashcards
HTN table initial evaluation. Renal function?
Electrolytes - K, Na, Ca
Creatinine
Urinalysis
Urine albumin/Cr ration (optional)
HTN table initial evaluation. Endocrine function?
Fasting glucose or HbA1c
Lipid profile
TSH
HTN table initial evaluation. Cardiac function?
ECG
Cardioecho (optional)
HTN table initial evaluation. Other tests? 2
CBC
Uric acid (optional)
HTN diagnosis algorithm. What BP on screening?
> =130/80 mmHg
HTN diagnosis algorithm.
> =130/80 mmHg –> what evalute?
End-organ damage or BP >180/120.
HTN diagnosis algorithm.
> =130/80 mmHg –> End-organ damage or BP >180/120 –> YES?
HTN is diagnosed.
NEED IMMEDIATE Tx of HTN
HTN diagnosis algorithm.
> =130/80 mmHg –> End-organ damage or BP >180/120 –> NO?
Need to measure BP at home/ambulatory. If BP >130/80.
HTN diagnosis algorithm.
> =130/80 mmHg –> End-organ damage or BP >180/120 –> Need to measure BP at home/ambulatory. If BP >130/80?
HTN diagnosis made.
If: 130-140 and 80-90 –> offer lifestyle modification for short period
If >140/90 –> give drugs for Tx
HTN diagnosis algorithm.
> =130/80 mmHg –> End-organ damage or BP >180/120 –> Need to measure BP at home/ambulatory. If BP <130/80?
NO HTN.
Routine monitoring.
Lifestyle interventions. DASH. Definition?
Diet high in fruits and veggies + low in saturated and total fats.
Lifestyle interventions. DASH. reduce BP?
11mmHg
Lifestyle interventions. Weight loss. Definition?
Reduce BMI <25
Lifestyle interventions. Weight loss. reduce BP?
10 kg = 6 mmHg
Lifestyle interventions. Aerobic exercise. Definition?
30min/day for 5+ days a week.
