HYPERTENSION FOCUSED D027
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
In the general population, pharmacologic treatment should be initiated when blood pressure is: -
ANSWER 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults
younger than 60 years
In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood
pressure is: - ANSWER 140/90 mm Hg or higher, regardless of age.
Initial antihypertensive treatment should include what medications? - ANSWER a thiazide diuretic,
calcium channel blocker, ACE inhibitor, or ARB in the general nonblack population or a thiazide diuretic
or calcium channel blocker in the general black population.
If the target blood pressure is not reached within one month after initiating therapy, the dosage of the
initial medication should be: - ANSWER increased, or a second medication should be added.
Patient education for anti-hypertensive medications should always include: - ANSWER Slow position
changes, lying down if hypotension occurs, consider taking at night so they can sleep at times when
orthostatic hypotension might occur
Ace Inhibitors reduce levels of __________ and increase levels of _______: - ANSWER Angiotensin II;
Bradykinin
So ACE inhibitors as a result dilate blood
vessels, reduce blood volume and prevent or reverse pathologic changes in heart and blood vessels.
Common side effects of ACE Inhibitors: - ANSWER Hyperkalemia, Fetal injury, cough and angioedema.
Dry cough is most common side effect and reason for switching medications; 10% complain of mild to
severe dry cough, sometimes does not go away on its own, which requires medication to be
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
In the general population, pharmacologic treatment should be initiated when blood pressure is: -
ANSWER 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults
younger than 60 years
In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood
pressure is: - ANSWER 140/90 mm Hg or higher, regardless of age.
Initial antihypertensive treatment should include what medications? - ANSWER a thiazide diuretic,
calcium channel blocker, ACE inhibitor, or ARB in the general nonblack population or a thiazide diuretic
or calcium channel blocker in the general black population.
If the target blood pressure is not reached within one month after initiating therapy, the dosage of the
initial medication should be: - ANSWER increased, or a second medication should be added.
Patient education for anti-hypertensive medications should always include: - ANSWER Slow position
changes, lying down if hypotension occurs, consider taking at night so they can sleep at times when
orthostatic hypotension might occur
Ace Inhibitors reduce levels of __________ and increase levels of _______: - ANSWER Angiotensin II;
Bradykinin
So ACE inhibitors as a result dilate blood
vessels, reduce blood volume and prevent or reverse pathologic changes in heart and blood vessels.
Common side effects of ACE Inhibitors: - ANSWER Hyperkalemia, Fetal injury, cough and angioedema.
Dry cough is most common side effect and reason for switching medications; 10% complain of mild to
severe dry cough, sometimes does not go away on its own, which requires medication to be
