NR 602 NR 667 VISE
STUDY GUIDE
,1. Hypertension
Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in am,
burry vision,
Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, CBC, CMP and urinalysis.
Diagnosis: > 140/90 mm Hg start on B/P medication.
Non pharmacologic Management:
o Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per
week.
o Limit alcohol
o stop smoking
o stress management.
Pharmacologic Management:
o hydrochlorothiazide (HCTZ) 25 mg/day
o ALTERNATIVE Amlodipine besylate 5 mg /day. I
o lisinopril 10mg/day complicated HTN
Follow up:
o 2-4weeks
Referral:
o Cardiology if EKG is normal
2. Hyperlipidemia
Presentation:
o Xanthomata (lipid deposits around the eyes)
o Corneal Arcus prior to age 50 years
Diagnostics:
, o lipid profile
o Glucose,
o UA and creatinine (for detection of nephrotic syndrome which can induce
dyslipidemia),
o TSH (for detection of hypothyroidism)
o CMP
Diagnosis: Pt with LDL >= 190mg/dL
Non pharmacologic Management:
o Lifestyle Modification; diet and exercise.
Pharmacologic Management:
• Atorvastatin 10mg once a day
• Alternative Welchol 625 mg tab daily once a day.
Follow up: 6-8
Refer: Nutritionist
3. Diabetes type 2
Presentation:
• Polydipsia, Polyuria, Polyphagia,
• agitation,
• nervousness,
• obesity,
• fatigue
• blurry vision
Diagnostics: EKG, CBC, CMP, LIPIDS< Microalbuminuria, TSH, A1C
Diagnosis:
• Hgb A1C >or equal to 6.5%
• Fasting glucose>126mg/dl and confirmed on a different day
Non pharmacologic Management:
• Monitor Blood glucose at home and diary
• Life style modification: diet and Exercise
STUDY GUIDE
,1. Hypertension
Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in am,
burry vision,
Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, CBC, CMP and urinalysis.
Diagnosis: > 140/90 mm Hg start on B/P medication.
Non pharmacologic Management:
o Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per
week.
o Limit alcohol
o stop smoking
o stress management.
Pharmacologic Management:
o hydrochlorothiazide (HCTZ) 25 mg/day
o ALTERNATIVE Amlodipine besylate 5 mg /day. I
o lisinopril 10mg/day complicated HTN
Follow up:
o 2-4weeks
Referral:
o Cardiology if EKG is normal
2. Hyperlipidemia
Presentation:
o Xanthomata (lipid deposits around the eyes)
o Corneal Arcus prior to age 50 years
Diagnostics:
, o lipid profile
o Glucose,
o UA and creatinine (for detection of nephrotic syndrome which can induce
dyslipidemia),
o TSH (for detection of hypothyroidism)
o CMP
Diagnosis: Pt with LDL >= 190mg/dL
Non pharmacologic Management:
o Lifestyle Modification; diet and exercise.
Pharmacologic Management:
• Atorvastatin 10mg once a day
• Alternative Welchol 625 mg tab daily once a day.
Follow up: 6-8
Refer: Nutritionist
3. Diabetes type 2
Presentation:
• Polydipsia, Polyuria, Polyphagia,
• agitation,
• nervousness,
• obesity,
• fatigue
• blurry vision
Diagnostics: EKG, CBC, CMP, LIPIDS< Microalbuminuria, TSH, A1C
Diagnosis:
• Hgb A1C >or equal to 6.5%
• Fasting glucose>126mg/dl and confirmed on a different day
Non pharmacologic Management:
• Monitor Blood glucose at home and diary
• Life style modification: diet and Exercise
