EPCC Pharmacology 2 copy PDF
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Summary
This document covers the management of chronic hypertension, including lifestyle modifications, sodium restriction, DASH diet, and aerobic exercise. It also discusses the role of blood pressure control mechanisms, such as the sympathetic baroreceptor reflex and the renin-angiotensin-aldosterone system. The document is likely part of a pharmacology course.
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IV. MANAGEMENT OF CHRONIC HYPERTENSION Basic Considerations: Diagnosis is based on several BP readings, feet flat (it’s true that BP is high at doctor’s office!) Benefits of Lowering Blood Pressure—unequivocal—morbidity is decreased and life is prolonged. Therapeutic Interventions—most patients need...
IV. MANAGEMENT OF CHRONIC HYPERTENSION Basic Considerations: Diagnosis is based on several BP readings, feet flat (it’s true that BP is high at doctor’s office!) Benefits of Lowering Blood Pressure—unequivocal—morbidity is decreased and life is prolonged. Therapeutic Interventions—most patients need combination of lifestyle changes and medications LIFESTYLE MODIFICATIONS (NOT drugs)is still a high priority. Sodium Restriction—important but may be short acting DASH eating plan—Dietary Approaches to Stop Hypertension Alcohol Restriction—one drink per day may be beneficial Aerobic Exercise—regular exercise reduces risk Smoking cessation—BP rises when smoking Weight Loss—helps reduce BP, and helps enhance response toBP meds USE THE ABOVE IN A TEACHING PLAN! V. REVIEW OF BLOOD PRESSURE CONTROL (CO = HR X SV) Sympathetic baroreceptors reflex—in aorta detect changes in pressure or stretch, so when BP is low, heart is stimulated Renin-Angiotensin-Aldosterone System Renal Regulation also play a role, especially for long term regulation of BP
