MANAGEMENT OF HYPERTENSION
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This document summarizes the management of hypertension. It outlines investigations to confirm diagnosis and assess end organ damage, including tests of renal, endocrine, metabolic, and cardiac function. Lifestyle interventions like weight loss, reduced salt intake, exercise, and the DASH diet are recommended as first-line treatment. If targets are not met, pharmacologic therapy with diuretics, ACE inhibitors, calcium channel blockers, beta-blockers, and other drug classes is suggested. Treatment goals depend on individual risk factors, aiming for systolic BP lower than 130-140 mmHg and diastolic BP lower than 80-85 mmHg.
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- Evaluation and testing used to diagnose hypertension and check for target organ damage
- Diseases and health complications attributable to uncontrolled hypertension
- Lifestyle changes and medications used to treat hypertension, including diuretics, ACE inhibitors, calcium channel blockers, and beta blockers.
Hypertension (1).ppt
This document discusses hypertension, including its definition, classification, risk factors, clinical manifestations, complications, diagnosis, treatment goals, treatment including lifestyle modifications and drug therapy, nursing management, and hypertensive crisis. Hypertension is defined as blood pressure at or above 140/90 mmHg. Treatment goals are to control blood pressure through lifestyle changes and medication to reduce cardiovascular risk. Common complications involve damage to heart, brain, kidneys and eyes. Nursing management focuses on health promotion, medication adherence, and monitoring for side effects.
hypertension final.ppt
Hypertension is defined as systolic blood pressure (SBP) of 140 mmHg or ... Hypertension is easy to diagnose and easy to treat
Diagnosis and management of Hypertension.ppt
Diagnosis and management of Hypertension Diagnosis and management of Hypertension
hypertensionfinal-230421053519-5d60216a.pdf
Hypertension is defined as blood pressure over 140/90 mmHg or taking medication for it. It can be essential or secondary hypertension. Treatment involves lifestyle modifications like weight loss, exercise, and diet changes as well as medications. Goals of treatment are to lower blood pressure to under 140/90 mmHg or 130/80 mmHg for those with diabetes or kidney disease to prevent heart disease and stroke. Treatment begins with lifestyle changes and may involve one or more classes of blood pressure medications including diuretics, ACE inhibitors, calcium channel blockers, beta blockers, and ARBs.
Hypertension and Its Treatment - Presentation.pdf
The document discusses guidelines for diagnosing and treating hypertension. It recommends evaluating patients for hypertension by measuring blood pressure and conducting tests such as a urinalysis, blood tests for kidney and liver function, blood glucose and cholesterol levels. The treatment goal is a systolic blood pressure of less than 130 mmHg and a diastolic pressure of less than 80 mmHg, to be achieved through lifestyle changes and medication over 2-4 weeks, adding or increasing medications if needed. Complications are prevented through annual screening tests and treating comorbidities like diabetes and high cholesterol.
Hypertension.ppt
This document discusses hypertension (high blood pressure) including its causes, risk factors, diagnosis, treatment, and lifestyle modifications. It defines normal and abnormal blood pressure readings and stages of hypertension. The major factors that help regulate blood pressure are the sympathetic nervous system and kidneys. Untreated hypertension can damage organs and increase heart attack and stroke risk. Treatment involves lifestyle changes like reducing sodium and alcohol intake, exercising, and weight control as well as medications. The DASH diet is effective for lowering blood pressure. Exercise prescriptions should start gradually and avoid excessive blood pressure rises.
hypertension ppt on high bp By Dr kartik
This document provides information about hypertension including its definition, types, causes, risk factors, diagnosis, treatment, goals of therapy, and lifestyle modifications. It defines hypertension as blood pressure higher than 140/90 mmHg and describes the classification of blood pressure readings. The treatment section discusses lifestyle changes and various classes of antihypertensive medications used to treat hypertension.
HYPERTENSION PPT.pptx detailed explanation
Hypertension is defined as blood pressure over 140/90 mmHg or taking medication for it. The document discusses diagnosis and management of hypertension including lifestyle modifications like weight loss, exercise, and diet changes as well as drug therapies. Drug classes discussed are diuretics, beta-blockers, ACE inhibitors, calcium channel blockers, and ARBs. Treatment is aimed at reducing blood pressure below 140/90 mmHg or 130/80 for those with diabetes or kidney disease to decrease risk of heart disease, stroke, kidney disease and other complications. Selection of drug depends on individual patient factors and conditions.
Hypertension Presentation CHOs 2022.pptx
1. Hypertension is defined as a systolic blood pressure of 160 mmHg or higher and/or a diastolic blood pressure of 95 mmHg or higher. It can be essential (95% of cases, no identifiable cause) or secondary (5% of cases, an underlying cause such as kidney, endocrine, or other diseases).
2. Risk factors for hypertension include increasing age, male sex, family history, sedentary lifestyle, smoking, diet high in salt and cholesterol, obesity, diabetes, and alcohol use. Target organ damage includes heart, brain, kidneys, and eyes.
3. Treatment involves lifestyle modifications like weight loss, exercise, diet changes, and limiting alcohol. Medic
HYPERTENSIVE NEPHROPATHY.pptx
Hypertensive nephropathy is kidney damage caused by long-standing high blood pressure. It involves thickening of the walls of small arteries in the kidneys which reduces blood flow and causes scarring. Risk factors include a family history of high blood pressure, older age, unhealthy habits like smoking, and illnesses like diabetes. Symptoms include high blood pressure, swelling, fatigue, breathing difficulties, and changes in urination. Treatment focuses on controlling blood pressure through lifestyle changes and medications like ACE inhibitors, ARBs, calcium channel blockers, and diuretics. If kidney function declines significantly, dialysis or kidney transplantation may be required.
Evaluation and management of hypertension
This document discusses the evaluation and management of hypertension. It covers definitions of hypertension, reasons for treating it due to health risks like stroke and heart disease. It discusses causes like behaviors and genetics. It outlines diagnosing hypertension through various blood pressure measurements and assessing cardiovascular risk. Treatment involves lifestyle changes and medication, with goals of controlling blood pressure to reduce health risks. It addresses treatment-resistant cases and improving medication adherence.
hypertension final (4).ppt
Hypertension is defined as blood pressure above 140/90 mmHg or taking antihypertensive medication. It can be essential or secondary hypertension. Treatment involves lifestyle modifications like weight loss, exercise, and diet changes as well as pharmacologic treatments. Drug therapy aims to reduce blood pressure below 140/90 mmHg or 130/80 mmHg for those with diabetes or kidney disease to decrease risk of heart disease and stroke. Treatment involves diuretics, ACE inhibitors, calcium channel blockers, beta blockers, and other drugs depending on individual factors. Goals are to control blood pressure and reduce target organ damage through lifestyle and medical treatment.
hypertension final (4).ppt
Hypertension is defined as blood pressure above 140/90 mmHg or taking antihypertensive medication. It can be essential or secondary hypertension. Treatment involves lifestyle modifications like weight loss, exercise, and diet changes as well as pharmacologic treatments. Drug therapy aims to reduce blood pressure below 140/90 mmHg or 130/80 mmHg for those with diabetes or kidney disease to decrease risk of heart disease and stroke. Treatment involves diuretics, ACE inhibitors, calcium channel blockers, beta blockers, and other drugs depending on individual factors. Goals are to control blood pressure and reduce target organ damage through lifestyle and medical treatment.
hypertension final.ppt
This document discusses the diagnosis and management of hypertension. It defines hypertension as blood pressure above 140/90 mmHg or being on antihypertensive medication. The main types are essential and secondary hypertension. Lifestyle modifications like weight loss, exercise, and diet changes can help control hypertension before starting medications. Common drug classes for treatment include diuretics, ACE inhibitors, calcium channel blockers, angiotensin receptor blockers, and beta blockers. The goals of treatment are to reduce target organ damage and cardiovascular risk by achieving a blood pressure under 140/90 mmHg or 130/80 mmHg for those with diabetes or chronic kidney disease.
hypertension final.ppt
Hypertension is defined as systolic blood pressure over 140 mmHg or diastolic over 90 mmHg. The document discusses the diagnosis, management, treatment, and goals of treating hypertension. Treatment involves lifestyle modifications like weight loss, reduced salt intake, exercise, as well as pharmacologic treatments including diuretics, ACE inhibitors, calcium channel blockers, and others. The goals of treatment are to reduce cardiovascular and renal morbidity and mortality by achieving a blood pressure under 140/90 mmHg or under 130/80 for those with diabetes or chronic kidney disease.
Similar to MANAGEMENT OF HYPERTENSION (20)
MANAGEMENT OF HYPERTENSION
- 2. Investigations - Confirm the diagnosis - Initial evaluation: * Renal - microscopic urine analysis, urine albumin, serum BUN and creatinine * Endocrine - serum Na, K, Ca, TSH * Metabolic - fasting blood glucose, total cholesterol, HDL and LDL cholesterol, triglycerides * Other investigations - hematocrit, electrocardiogram
- 3. Treatment of hypertension Lifestyle Interventions Pharmacologic therapy Treatment Goals: *S.B.P. <135-140 mm Hg D.B.P. <80-85 mm Hg *Patients with diabetes, Congestive heart disease, chronic kidney disease and CVS risk factors: < 130/80 mm Hg *Patients with proteinuria(>1g/d): S.B.P.~120mm Hg
- 4. Non-drug therapy: Lifestyle interventions Weight reduction: BMI < 25kg/m Dietary salt reduction: <6g NaCl/d DASH-type diet plan Physical activity Primary care strategies: To improve screening and detection of hypertension in affected individuals 2
- 7. Pharmacologic Therapy Compelling indications for the use of Anti- hypertensive drugs: 1. Heart failure 2. High risk of coronary artery disease 3. Past h/o MI 4. Past h/o stroke 5. Diabetes 6. Chronic renal disease
- 8. Anti-hypertensive drugs - Diuretics - ACE inhibitors - Angiotensin blockers/ AT1 receptor blockers - Ca channel blockers - B adrenergic blockers - a adrenergic blockers - a + B adrenergic blockers - Central sympatholytics - Vasodilators
- 9. Line of management Restrict or remove Na+ Reduce mineralocorticoid activity - Diuretics - ACE inhibitors - Aldosterone blockers Reduce heart rate and contractility - B blockers - Sympatholytics - Ca channel blockers - Vasodilators *Tumors of the JG apparatus/ Rennin producing tumors, tumors of zona glomerulosa of adrenal gland (Conn’s syndrome) might need chemotherapy, radiotherapy and surgical interventions. *Renal artery stenosis (atheromatous plaques / fibromuscular dysplasia) * Pregnancy, OCP use
- 10. THANK YOU