Young 34 yes female BP 170/100 ECG normal pl suggest management

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A c/o hypertension Evaluate for heridetory and other aetiology Young man needs to be investigated Adv 2decho KFTS Usg abdomen Blood cholesterol and lipid prifile hs Crp Assess risk factors Adv to modify the lifestyle Weight management Calculate BMI Adv low salt diet Manage stress factors Now decide to put on rx If needed put on ACE/ARB LIKE OLEMISARTAN +CHLORTHALIDONE OR TELMISARTAN+CHLORTHALIDONE rest supportive treatment as per lab
Thanx dr Manuprsad Dayaram Acharya
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First Record the BP at least for 5-7 days and see the fluctuations,If the BP is >140/90 throught the week den prescribe the medicine or Else Need not to prescribe Antihypertensive drug and Adv routine blood investigations If it is needed then u can go for T.Telma 40 1OD As a initial dose
Essential hypertension,low salt,stress and anxiety ,first Telmisartan40mg and monitoring adv,RBS,SR.CREATININE,LFT TO EXAMINE AND TO KNOW THE MENDTRUAL HISTORY
SUGGESTIVE OF HYPERTENSION .. ADVISABLE... AS. THE ECG....IS. NORMAL... ..NEEDS. FURTHER. EVALUATION. FOR. ETIOLOGICAL. FACTORS
Tab Telma Am od
When patient is young and diagnosis as a hypertension Do all needed investigations... It may be associated with renovascular hypertension.. Initially start with metoprolol 50mg If persistent add telmisartan with metoprolol..
DASH.....I request before starting treatment Ambulatory blood pressure monitor ing should be done ..after doing this we BP will be high start with ARB or ACEI....KFT,LFT,Partial lipid profile should be done
Start Antihypertensive Tab Telma Am Od Advise.. Low salt diet Do Blood test.. FLP S.Urea S.creatinine
If persistently high, start Cardace 2.5mg OD

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