JNC-8 Guidelines for HTN

Question 1

what considerations are made when starting BP meds?

Answer 1

• DM or CKD present?
• age
• nonblack vs black

Question 2

BP goal if:

• no DM or CKD
• age 60 or greater

Answer 2

< 150/90

Question 3

BP goal if:

• no DM or CKD
• age less than 60

Answer 3

< 140/90

Question 4

BP goal if:

• • DM
• no CKD
• all ages

Answer 4

< 140/90

Question 5

BP goal if:

• • CKD w/ or w/o DM
• all ages and races

Answer 5

< 140/90

Question 6

BP treatment if:

• +/- DM
• NO CKD
• nonblack

Answer 6

• thiazide
• ACEI
• ARB
• CCB
• alone or in combo

Question 7

BP treatment if:

• +/- DM
• NO CKD
• black

Answer 7

• thiazide
• CCB
• alone or in combo

Question 8

BP treatment if:

• • CKD w/ or w/o DM
• all ages and races

Answer 8

• ACEI or ARB

- alone or combo w/ ANOTHER class

Question 9

• BP treatment
• compelling indications:
• HF

Answer 9

ACEI/ARB + BB + diuretic + spironolactone

Question 10

• BP treatment
• compelling indications:
• post-MI/clinical CAD

Answer 10

ACEI/ARB + BB

Question 11

• BP treatment
• compelling indications:
• CAD

Answer 11

ACEI, BB, diuretic, CCB

Question 12

• BP treatment
• compelling indications:
• diabetes

Answer 12

ACEI/ARB, CCB, diuretic

Question 13

• BP treatment
• compelling indications:
• CKD

Answer 13

ACEI/ARB

Question 14

• BP treatment
• compelling indications:
• recurrent stroke prevention

Answer 14

ACEI, diuretic

Question 15

• BP treatment
• compelling indications:
• pregnancy

Answer 15

labetalol (first line), nifedipine, methyldopa

Question 16

when is it recommended to start 2 drugs at the same time for HTN treatment?

Answer 16

BP > 20/10 above goal