Anti-hypertensive drugs clinically

Question 1

First step of treatment for hypertension for…

Black african

Answer 1

CCB
(Calcium channel blockers)

Question 2

First step of treatment for hypertension for…

A patient over the age of 55

Answer 2

CCB
(Calcium channel blockers)

Question 3

First step of treatment for hypertension for…

A white caucasian patient with type 2 diabetes

Answer 3

ACE inhibitors or ARBs

Question 4

First step of treatment for hypertension for…

A pregnant patient

Question 5

Second step of treatment for hypertension for…

An african-caribbean patient at 60 years old

Answer 5

CCB + (Thiazide-like diuretics OR ACEi OR ARBs)

Question 6

Lifestyle advice for..

Someone with a measured BP of 135/85mmHg in the clinic.

Answer 6

Check BP atleast every 5 years.

<140/90

Question 7

Lifestyle advice for..

An individual with a measured bp of 160/100mmHg in the clinic

Answer 7

Offer ABPM

Offer HBPM if ABPM is rejected by the patient

^ 140/90 - 179/119

Question 8

Lifestyle advice for..

An individual with a measured bp of 185/125mmHg in the clinic

Answer 8

Assess for possible target organ damage.
* If target organ damage then start drug treatment immediately without ABPM/HBPM.
* No target organ damage then confirm diagnosis by repeating clinic BP measurement within 7 days.

Question 9

First step of treatment for hypertension for…

African-caribbean individual with type 2 diabetes

Answer 9

CCBs is prioritized over ACEi or ARBs

Question 10

BP target for <80 years old

Answer 10

• Clinic BP <140/90mmHg
• ABPM/HBPM <135/85mmHg

Question 11

BP target for >80 years old

Answer 11

• Clinic BP <150/90mmHg
• ABPM/HBPM <145/85mmHg

Question 12

TRUE OR FALSE

You only need to measure the sitting BP for type 2 diabetes patients or 80 years old patients

Answer 12

FALSE - You must measure BOTH the sitting AND standing BP for patients aged 80+ or type 2 diabetic patients