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Revision as of 04:13, 12 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
<120 diastolic --> home, outpt rx
>210 systolic or >120-130 diastolic --> search end organ
1) Upreg
2) If diastolic >110-120:
- Chem 7 (creatinine)
- UA (protein)?
- ECG?
- CXR?
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)
Asymptomatic Hypertension (HTN)[/rename.php?renamepage=Asymptomatic%20Hypertension%20%28HTN%29 ]
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
