Hypertension
NICE guidance on management
of hypertension in adults in primary care (2011)
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Management
of hypertension: summary of NICE guidance (2011) -
New
NICE guidelines for hypertension (2011)
- 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
The BHS guidelines 2004 have been superceded by the NICE
hypertension guidelines 2006 and then the
NICE guidance on management
of hypertension in adults in primary care (2011)
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Allow 4-6 weeks for a therapeutic trial of each drug (longer for ACEI and ARB).
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If response to treatment is inadequate (<5mm diastolic) check compliance.
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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 (2011)