Hypertension Flashcards
(26 cards)
What is the primary goal of hypertension management according to NICE guidance?
To reduce the risk of cardiovascular disease and stroke.
True or False: Lifestyle changes are the first-line treatment for hypertension.
True.
What is the first-line medication for hypertension in patients under 55 years old?
Angiotensin-converting enzyme (ACE) inhibitors.
Fill in the blank: In patients aged 55 and over, the first-line treatment for hypertension is __________.
Calcium channel blockers.
What should be monitored regularly in patients on antihypertensive medications?
Blood pressure and renal function.
Which class of drugs is recommended if the initial treatment for hypertension is not effective?
Add a second drug from a different class.
What lifestyle modification can significantly lower blood pressure?
Weight loss.
True or False: The NICE guidelines recommend a target blood pressure of less than 140/90 mmHg for most adults.
True.
What is the recommended follow-up period for patients after initiating antihypertensive treatment?
4 to 8 weeks.
In hypertension treatment algorithm what should diabetics be started on? (Regardless of age or ethnicity)
ACE/ARB
In hypertension treatment algorithm what should black people be started on? (Regardless of age)
CCB (as long ad they aren’t diabetic in which case it’s ACE/ARB which trumps all)
In black people what would be your second stage of treatment for HTN
ARB (added in orefenrce to ACE). Use as a second line after CCB
When using CCB IN DM only use…
Long acting preparations
What is step 4 of HTN
Resistance HTN
spirinolactobe is K <4.5
Alpha/beta blocker if K>4.5
If combining a CCB and BB what type of CCB should you use inc examples
Dihudropyridine e.g. amlodioine, felopdine or slow release nifedipine
What should be used for diagnosis?
ABPM (home readings if unable to tolerate)
When is it postural hypotension?
Systolic drop 20 or diastolic 10
What are the BP targets if <80 (clinics and ABPM/home)
140/90 (home 135/85)
What are the BP targets if >80 (clinics and ABPM/home)
<150/90 (145/85)
What are the BP targets if CKD
ACR <70 then <140/90
If ACR >70 then 130/80
When does hypertension become type 2?
150/95 (home/ABPM)
For patients with stable coronary after disease in anti hypertensive treatment what range of BO has the lowest CV mortality
120/70-139/79 (J shaped curve)
When do you measure U+E with ACE/ARB
Before starting, 1-2weeks after starting or dose change then annually once stable
What is the risk with ACE/ARB
Hyperkalaemia and renal impairment ( stop if creatine rises >30% or K >5.5
