Hypertension
> Tth Report of the Joint National Committee on Detection, Evaluation, &
of igh a? (JNC-7):
Category Systolic (mmHg) Diastolic (r
Normal <120 &<80
Pre-hypertension 120-139 0 80-89
Stage 1HPN 140-159 0 90-99
Stage 2 HPN 2160 Or> 100
8th Report of the Joint National Committee on Detection,
Evaluation, & Treatment of High BP (JNC-8):
Blood Pressure Stages
Ere aera cg
Hypertension
> most common cardiovascular disorder
+ sustained BP > 130/>80 (systolic/ diastolic)
» NOTE: PLEASE REMEMBER THE
DIFFERENTIATION OF JNC VII AND JNC VIII
CLASSIFICATIONTHINGS TO REMEMBER
HYDRALAZINE causes SLE
HYDRALAZINE AND METHYLDOPA are the drug of choices to
treat hypertension in pregannt patients
Na NITROPRUSSIDE is the DOC for hypertensive
crisis/emergency
Na NITROPRUSSIDE is associated with cyanide poisoning
MINOXIDIL CAUSES HIRSUTISM
CaCB is divided into 2..Dihydropyridines are those that
ends in “DIPINE” and Non-dihydropyridines that includes
diltiazem and verapamil. their difference is that
dihydropyridines acts on the vessel only while
non-dihydropyridine acts on the vessels and in the heart
THINGS TO REMEMBER
CLONIDINE- causes rebound hypertension on withdrawal
METHYLDOPA - gives positives coombs tst that indicates
presence of hemolytic anemia
ALPHA - 1 BLOCKERS/CaCB/ACEI/A2RBS/VASODILATORS -
ALL will act as antihypertensives via vasodialtion. ALL will
exhibit reflex tachycardia.
ALPHA - 1 BLOCKERS- will exhibit” FIRST DOSE
PHENOMENON” meaning to say it will cause orthostatic
hypotension after first dose
ACEI causes coughing because of the increse of bradykinin
ACE! is the DOC in hypertensive diabetics
Direct Renin inhibitor is named as Aliskiren