Clin aspects of HTN II Objectives

Select the best non -pharmacologic treatment for

hypertension
Lifestyle modification

-WEIGHT REDUCTION WILL REDUCE IT THE MOST

Note: Dietary approach to stop hypertension

- Low salt diet
-Physical activity
- Moderate alcohol consumption

Visceromatic reflexes and chapman points related

to HTN
Heart Visceromatic reflex
T1-T5

Kidney Visceromatic reflex

T10-T11
S2-S4

Heart Chapmans Point

Anterior: medial 2nd intercostal space

Posterior: T2 transverse process

Kidney Chapmans Point

Anterior: 1 inch superior and 1 inch lateral to the umbilicus

Posterior: L1 Transverse process

Adrenals Chapman Point

Anteriorly: 2 inches superior and 1 inch lateral to the umbilicus

Posterior: T1 transverse process

What is an absolute compelling indication?

REQUIREMENT for a certain antihypertensive drug class for a
condition

What is a relative compelling indication?

SUGGESTION for a certain antihypertensive drug class for a
condition
Clin aspects of HTN II Objectives

What is an absolute compelling contraindication?

REQUIREMENT for NOT using any certain antihypertensive
drug classes

What is a relative compelling contraindication?

a condition that makes a particular treatment or procedure
possibly inadvisable

List treatment for children & adolescents

Stress lifestyle interventions. Effective doses may be smaller for
children.
DO NOT use ARBs/ACEIs in sexually active girls!

Relative indications
Thiazide
BB
CCB
ACEI/ARB

List tx for pregnant women (and sexually active

girls)
Absolute compelling CONTRAINDICATIONS
ACEI/ARBs (cause fetal defects of the kidney)

What are options to use during pregnancy for hypertension?

Methyldopa
Hydralazine
Vasodilators
Labetolol

What is an indication?
desirable or necessary course of action

List compelling indications

Ischemic Heart Disease
Heart Failure
Diabetes mellitus
Chronic kidney disease
Cerebrovascular Accident
African-American
Clin aspects of HTN II Objectives

Pregnancy
Children & Adolescents
Clin aspects of HTN II Objectives
Clin aspects of HTN II Objectives
Clin aspects of HTN II Objectives
Clin aspects of HTN II Objectives
Clin aspects of HTN II Objectives
Clin aspects of HTN II Objectives