Hypertension Assessment
- Essential Hypertension
- Secondary Hypertension
- Headache
- Vision Changes
- Nosebleed (Epistaxis)
- Chest Pain
- Syncope (Fainting)
- Average 2 Sets, 2 Minutes Apart
- After 2 or More Visits (within 1-4 weeks)
- Take BP Both Arms
- Common in African Americans
Hypertension Intervention
- Weight Reduction and Exercise
- Diet Changes
- Relaxation Techniques
- Smoking Cessation
- Medications
- Encourage Self Monitoring
Hypertension Management (JNC-8)
- Age Over 60 years (and Healthy)
- 150/90
- Age Under 60 years (and Healthy)
- Any Age with Diabetes or CKD
- 140/90
- ARB/ACE-I/Thiazide/CCB (Primary or Combo)
- CKD (w/wo Diabetes)
- ARB or ACE-I Primary
- African American
- Thiazide or CCB Primary
Hypertension Medications
- Diuretics
- ACE Inhibitors
- Angiotensin Receptor Blockers (ARBs)
- Beta Blockers
- Dihydropyridine Calcium Channel Blockers
Arterial Ulcer Assessment
- Absent or Decreased Pulses
- Intermittent Claudication
- Sharp Pain
- Dependent Rubor
- Well Defined Edges
- Over Bony Areas
- Smooth, Shiny Skin
- Toes, Heels, Lateral Lower Legs
- Cool
Arterial Ulcer Interventions
- Saline Dressing
- Structured Exercise Programs
- Fibrinolytics
- Antiplatelet Medication
- No Caffeine, Nicotine
- Surgery