Diferencia entre revisiones de «Asymptomatic hypertension»

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==JNC-7 Classification==
== 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


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==


== Work-Up ==


<120 diastolic --> home, outpt rx
<120 diastolic --> home, outpt rx
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2) If diastolic >110-120:
2) If diastolic >110-120:


* Chem 7 (creatinine)
*Chem 7 (creatinine)
* UA (protein)?
*UA (protein)?
* ECG?
*ECG?
* CXR?
*CXR?


Note:
<br/>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
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==


== Treatment ==


*HCTZ all
*HCTZ all
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(also ACE in CHF, DM)
(also ACE in CHF, DM)


 
<br/>[[Category:Cards]]
 
 
[[Category:Cards]]

Revisión del 16:34 9 mar 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)