Asymptomatic hypertension: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
== JNC-7 Classification == | == JNC-7 Classification == | ||
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | {| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
| Line 30: | Line 29: | ||
== Work-Up == | == Work-Up == | ||
#Upreg | |||
#<120 diastolic --> home, outpt rx | |||
#>210 systolic or >120-130 diastolic --> search end organ | |||
##Chem 7 (creatinine) | |||
##UA (protein)? | |||
##ECG? | |||
Note: | Note: | ||
| Line 43: | Line 41: | ||
== Treatment == | == Treatment == | ||
#HCTZ all | |||
#2dary= B-blockers; Ca channel in AA | |||
#also ACE in CHF, DM | |||
[[Category:Cards]] [[Category:GU]] | |||
Revision as of 12:28, 14 March 2011
JNC-7 Classification
| Class | Systolic | Diasolic | |
| Normal | <120 | and | <80 |
| Pre-hypertension | 120-130 | or | 80-89 |
| Stage 1 | 140-150 | or | 90-99 |
| Stage 2 | ≥160 | or | ≥100 |
Work-Up
- Upreg
- <120 diastolic --> home, outpt rx
- >210 systolic or >120-130 diastolic --> search end organ
- Chem 7 (creatinine)
- UA (protein)?
- ECG?
Note:
The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends an average of 2 or more properly measured, seated blood pressure readings on each of 2 or more office visits to establish the diagnosis
Treatment
- HCTZ all
- 2dary= B-blockers; Ca channel in AA
- also ACE in CHF, DM