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"THE SILENT KILLER"
Patient says, "I don't need to take the blood pressure pills my doctor gave me because I feel fine without them!"
Patient says, "Well, I suppose I should go to see my doctor because when I was in the supermarket yesterday and measured my blood pressure it was pretty high'
Patient says, "Okay, I just took my first blood pressure pill my doctor prescribed and I've promised my wife to take one every morning, just like my doctor told me to do!"
Patient says, "I forgot my blood pressure pill this morning. I'm going to call my doctor and ask if I should just take it now or wait until tomorrow morning."
Patient says, "I've been feeling good, so I haven't taken my blood pressure pill for a few days now."
Patient says, "I have been taking my blood pressure medication just as my doctor has instructed me for ten years now - and I have no intention to ever stop unless he tells me to stop!"
Diuretics - Beta Blockers - Calcium channel blockers - Angiotensin covering enzyme inhibitors - Angiotensin II receptor blockers (Oparil et al, 2018)
They help the kidneys release more sodium into the urine, which removes more water from the blood and decreases the amount of fluid flowing through the veins and arteries, which reduces blood pressure. Examples:
They block the effects of adrenaline (a hormone that triggers fight-or-flight response when stressed), which reduces HR and stroke volume so the heart does not have work as hard. They also relax blood vessels (so blood flows better). It may be combined with other anti-HTN meds.
Examples:
They relax the muscles that control the arteries. Vasodilator test required and first doses in the hospital to ensure safe dose is determined.
Examples:
They cause the relaxation of blood vessels and a decrease in blood volume, which lead to lower BP and decreased oxygen demand from the heart. They are used to treat HTN and heart failure.
Examples:
Often used when patients are intolerant of the adverse effects produced by ACE inhibitors.
Examples:
Are they taking their anti-HTN medication as prescribed? If not, tell them to follow the instructions of their MD (e.g., can just read the bottle)
Is BP still too high and/or is it ever too low? If not WNL, notify MD
Are they have any adverse effects from the medication? Obtain details and report to MD
Are they taking their anti-HTN medication as prescribed? If not, tell them to follow the instructions of their MD (e.g., can just read the bottle)
Is BP still too high and/or is it ever too low? If not WNL, notify MD
Are they have any adverse effects from the medication? Obtain details and report to MD
Rich in fruits, vegetables, and low in salt. It also includes mostly whole grains, lean meats, fish, poultry, nuts, and beans
Guidelines:
Compared to a control group, the DASH diet reduced systolic BP by 3.2 mm Hg and diastolic BP by 2.5 mm Hg (in those with HTN
One study found (compared to a control group) the DASH diet reduced systolic BP by 5.2 mm Hg and diastolic BP by 2.6 mm Hg (in those with HTN
Only unprocessed foods from the plant kingdom - no processed foods from the plant kingdom (e.g. French fries) and no foods from the animal kingdom.
Vegetarians (those who eat a plant-based diet) - and especially those who eat only the WFPB diet - have lower blood pressure
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