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Hypertension JNC 8 2014 Evidence-based Guidelines Goals: < 140/90 Age: < 60 yo Diabetes Chronic Kidney Disease < 150/90 Age: ≥60 yo First Line Medications: Thiazide ($4) combo ACE ($4) CCB ($$) ARB ($$$) If indicated: Beta blocker (CAD, CHF, tremor) Furosemide (CHF, Edema) Spironolactone (CHF, resistant HTN) Alpha-blocker (BPH) Labs: Creatinine (BMP/CMP) Creatinine:Microalbumin ratio HbA1C Lipid Panel Counseling: DASH DIET & salt restriction · · 11.5 mmHg Exercise · · · · · · · · · · · · ·· · · · · · 4 - 9 mmHg Weight loss · · · · · · · · · · · · · · 0.5 - 1 mmHg Alcohol · · · · · · · · · · · · · · · · · 2 - 4 mmHg Smoking · · · · · · · · · · Decrease MI risk (5x)

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Page 1: Hypertension - St. Vincent de Paul · Hypertension JNC 8 2014 Evidence-based Guidelines Goals: < 140/90 Age: < 60 yo Diabetes Chronic Kidney Disease < 150/90 Age: ≥60 yo First Line

Hypertension

JNC 8 2014 Evidence-based Guidelines

Goals: < 140/90

Age: < 60 yo Diabetes Chronic Kidney Disease

< 150/90 Age: ≥60 yo

First Line Medications: Thiazide ($4) combo ACE ($4) CCB ($$) ARB ($$$)

If indicated: Beta blocker (CAD, CHF, tremor) Furosemide (CHF, Edema) Spironolactone (CHF, resistant HTN) Alpha-blocker (BPH)

Labs: Creatinine (BMP/CMP) Creatinine:Microalbumin ratio HbA1C Lipid Panel

Counseling: DASH DIET & salt restriction · · 11.5 mmHg Exercise · · · · · · · · · · · · ·· · · · · · 4 - 9 mmHg Weight loss · · · · · · · · · · · · · · 0.5 - 1 mmHg Alcohol · · · · · · · · · · · · · · · · · 2 - 4 mmHg Smoking · · · · · · · · · · Decrease MI risk (5x)

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