Hypertension
NICE guidance on management
of hypertension in adults in primary care
- BP should be measured every 5 years in all adults over 16 years .
- BP should be measured every one year in
patients with:
- Diabetes
- Cardiovascular disease
- Renal disease
- Borderline hypertension
- On oral contraceptive
- NICE hypertension guidelines 2006
- BP reading
Ambulatory blood pressure monitoring
Ranges for definitions used in the dabl1 ambulatory blood pressure monitoring reports:
Recommended levels of normality for ambulatory blood pressure measurements in adults:
Suggested hypertension management strategy
Hypertension: BHS guidelines 2004 have been superceded by the NICE hypertension guidelines 2006
-
Allow 4-6 weeks for a therapeutic trial of each drug.
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If response to treatment is inadequate (<5mm diastolic) check compliance.
-
Avoid NSAID, effervescent analgesics, Gaviscon and pseudoephedrine - can all raise BP by 5mm Hg.
Considering statins - sharing risk
Monitoring renal function in hypertension
Investigating hypertension in a young person
NICE guidance on management
of hypertension in adults in primary care