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Hypertension, stage of hypertenions - Coggle Diagram
Hypertension
investigations
Ambulatory blood pressure measurements; 24 hour monior for a week records blood pressure every 2 hrs so covers both waking and sleep hours
home blood pressure measurements; measure bp x2 in morning and evening. Pt instructed to rest for 5 mins before and to take each reading 1 minute apart
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bloods; Hba1c, cholesterol, U&Es
signs
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secondary hypertension; signs of hyperthyroidism e.g. excess sweating, weight loss, agitated
increased intracranial pressure; headache, visual disurbance, nausea + Vom
management
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4th line; depends on level of potassium K+ >4.5 mmol add alpha/beta blocker K+<4.5mmol aldosterone antagonist spironolactone
definition
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secondary hypertension; 1. medications; atypical antipyschotics, Combined pill. 2. renal impairment; renal artery stenosis, glomerulonephritis etc. 3. endocrine disorders; cushings syndrome, hyperthyroidism, hyperaldosteronism 4. Pregnancy
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