Asymptomatic hypertension
Revision as of 04:14, 12 March 2011 by Rossdonaldson1 (talk | contribs)
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
(2dary= B-blockers; Ca channel in AA)
(also ACE in CHF, DM)