How do we manage newly diagnoed htn in ccs? - jayhind

[ArchivalUser]

Do we send him home and call back for another reading or we measure it twice during the 1st meeting in office only?

Thanks

[ArchivalUser]

1. if DBP>90 after 3-6 months of lifestyle modification
2. if DBP>100 initially--1 drug--HCTZ
3. if BP > 160/100-- 2 drug therapy.

somebody please correct me..

thanks

[ArchivalUser]

ask for home monitoring of blood pressure or check your past records
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if not send him back home n scedule apointment for next day and ask for
BP at home
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if in 40s go for evaluation of essential HTN but if more than 65 or less than 20 go for
secondary HTN........................PRIMARY HYPERALDOSTERONISM,
PHEOCHROMACYTOMA,CUSHING'S, RENAL ARTERY STENOSIS

[ArchivalUser]

good job residencyforsure..appreciate it...really helpful..

[ArchivalUser]

Thanks residencyforsure and rajadr for your inputs....appreciated....

so if if the 40 yr pt comes with stage 2 htn ( systolic >160 or diastolic >100)... so we still need to followup on the second day or we can start medicine???

[ArchivalUser]

????

[ArchivalUser]

start medicines atleast 2....either HCTZ OR ACEi and follow up in 1 month but if his BP is more than 180/110 treat immediately