2.14 Clinical Aspects of Hypertension
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What are modifiable risk factors for hypertension and how do you assess them?
- Renal Failure
What is blood pressure?
Cardiac Output X Systemic Vascular Resistance
What is hypertension?
High blood pressure
What is JNC-7 and how do you dx and tx hypertension?
- From 2003
- Normal: <120/80 mmHg
- Pre-hypertension: 120-139/89-89 mmHg
- Stage 1 Hypertension: 140-159/90-99 mmHg
- Stage 2 Hypertension: >=160/100 mmHg
What is JNC-8 and how do you dx and tx hypertension?
- From 2013
- >60, BP >150/90 mmHg
- <60, BP = 140/90 mmHg
What pharmacologic tx plan can be given for a pt with hypertension?
- Thiazide-Type Diuretic
- Calcium Channel Blocker (CCB)
- Angiotensin-converting enzyme inhibitor (ACEI)
- Angiotensin receptor blocker (ARB)
What non-pharmacologic tx plan can be given for a pt with hypertension?
Therapeutic Lifestyle Changes
What is hypertensive emergency?
Hypertensive emergency with a diastolic blood pressure >= 120 mmHg plus end organ damage
What is hypertensive urgency?
Hypertensive crisis with a diastolic blood pressure >= 120 mmHg but no symptoms of end organ damage
What is the main point in doing the history and physical for a patient with hypertension?
- Looking to see if it's a secondary hypertension
- To see if something else is causing the hypertension
What would you like to do?
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