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HTN guideline algorithm.pdf - Age < 60 years BP Goal <...

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NoNoYesNoBlackJNC 8 Hypertension Guideline AlgorithmLifestylechanges:Smoking CessationControl blood glucose and lipidsDiet9Eat healthy (i.e., DASH diet)9Moderate alcohol consumption9Reduce sodium intake to nomore than 2,400 mg/dayPhysical activity9Moderate-to-vigorous activity3-4 days a week averaging 40min per session.Adult aged ≥ 18 years with HTNImplement lifestyle modificationsSet BP goal, initiate BP-lowering medication based on algorithmGeneral Population(no diabetes or CKD)Diabetes or CKD presentAge≥ 60 yearsAge< 60 yearsAll AgesDiabetes presentNo CKDAll Ages and RacesCKD present with orwithout diabetesBP Goal< 150/90BP Goal< 140/90BP Goal< 140/90BP Goal< 140/90NonblackYesInitiate thiazide or CCB,alone or comboInitiate ACEI or ARB,alone or combow/another classReinforce lifestyle and adherenceTitrate medications to maximum doses or consider adding another medication(ACEI, ARB, CCB, Thiazide)At blood pressure goal?Reinforce lifestyle and adherenceAdd a medication class not already selected (i.e. beta blocker, aldosterone antagonist, others) and titrate

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Thiazide, Spironolactone

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