Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
|
An asymptomatic 50 yr old male patient presents to your office for his yearly routine exam. Physical exam reveals his BP to be 170/100 mmHg. The patient does not have a history of hypertension nor does he have any other significant past medical history. What treatment should be initiated at this time?
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
|
| darkhorse
Forum Elite
Topics: 56
Posts: 275
|
repeat measurement in couple of weeks
___________________
When going gets tough, the tough gets going
|
| dirtyplay28
|
None... try again. u need 3 readings of elevated BP .if asymptomatic come back in 1-2 weeks for another BP reading. or take off ur white coat!  
|
| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
|
correct you need 2 more measurements, then assess which classification he falls under, and then treat accordingly.
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
|
| sherry39
Forum Junior
Topics: 3
Posts: 105
|
one reading of 170 is sufficient at this age group 2 start medication
|
| laura81
Forum Elite
Topics: 32
Posts: 175
|
thiazide diuretics..
|
| hope4dabest
Forum Elite
Topics: 16
Posts: 433
|
even for 170..check it again after 1 month in first time diagnosed before any medication
|
| nyimalay
Forum Elite
Topics: 9
Posts: 280
|
Please correct me if I am wrong.
Elevation of BP for the first time have to be double/triple checked if there is no sign and symptoms of end organ damage.
Once confirmed,
Start with 2 drugs if BP> 160/110.
Start with 1 drug if DBP>100.
Otherwise, life style modification and if DBP still> 90 after 3-6 months, start with 1 drug.
Initial drug of choice is usually thiazide diuretics.
|
|
| |
| | | | | | | | |
