JNC-8 Guidelines for HTN Flashcards Preview

CMDT 2017 > JNC-8 Guidelines for HTN > Flashcards

Flashcards in JNC-8 Guidelines for HTN Deck (16)
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1

what considerations are made when starting BP meds?

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

2

BP goal if:

- no DM or CKD
- age 60 or greater

< 150/90

3

BP goal if:

- no DM or CKD
- age less than 60

< 140/90

4

BP goal if:

- + DM
- no CKD
- all ages

< 140/90

5

BP goal if:

- + CKD w/ or w/o DM
- all ages and races

< 140/90

6

BP treatment if:

- +/- DM
- NO CKD
- nonblack

- thiazide
- ACEI
- ARB
- CCB

- alone or in combo

7

BP treatment if:

- +/- DM
- NO CKD
- black

- thiazide
- CCB

- alone or in combo

8

BP treatment if:

- + CKD w/ or w/o DM
- all ages and races

- ACEI or ARB

- alone or combo w/ ANOTHER class

9

- BP treatment
- compelling indications:

- HF

ACEI/ARB + BB + diuretic + spironolactone

10

- BP treatment
- compelling indications:

- post-MI/clinical CAD

ACEI/ARB + BB

11

- BP treatment
- compelling indications:

- CAD

ACEI, BB, diuretic, CCB

12

- BP treatment
- compelling indications:

- diabetes

ACEI/ARB, CCB, diuretic

13

- BP treatment
- compelling indications:

- CKD

ACEI/ARB

14

- BP treatment
- compelling indications:

- recurrent stroke prevention

ACEI, diuretic

15

- BP treatment
- compelling indications:

- pregnancy

labetalol (first line), nifedipine, methyldopa

16

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

BP > 20/10 above goal