Anti hypertensive of choice in asymptomatic And symptomatic patient havin bp>200

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Hypertensive having bp >200 needs to look for aetiology to choose line of treatment As a blanket advice any two molecules and diuretic Needs monitoring and titrate the doses
Thanx dr Kute Ankush
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* STAMLO + TELMISARTAN.. OR .. * METOPROLOL + TELMISARTAN.. * NEED'S TO INVESTIGATE WITH.. ECG STUDY.. LIPID PROFILES.. BSR .. ACCORDINGLY FURTHER MANAGEMENT..
Tnx Dr Jivan Rathod
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Both symptomatic or asymptomatic needs full hx Age/sex Certain needed investigation Hb Bs f and ppbs S creatinin Tsh Still ARB is more reliable to start with.
Tab amlo 5mg Or Tab telma am 40/5 But see for sr creat n bun level See also for blood test n usg pel abdo Ecg with Chest xray
Combination of ARBS- Telmisartan CCB-- S Amlodipine Betablocker -- Metaprolol
Tab Tsart CT 80
If pt presented with the symptoms of end organ damage like chest pain ,dyspnoea ,headech ,visual disturbance ,giddiness,weakness of limbs ,difficulty in speaking ,oliguria, anuria,etc such pts should be treated in icu with intravenous antihypertensives with careful monitoring, pt without the symptoms of end organ damage can be treated as an outpatient provided all routine work up should be done.(ecg,sr creat ,urea,bsl, lipids,thyroid,etc)
Thank you doctor
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If pt presented with the symptoms of end organ damage chest pain ,dyspnoea ,headech ,visual disturbance ,giddiness,weakness of limbs ,difficulty in speaking ,oliguria, anuria such pts should be treated in icu with intravenous antihypertensives with careful monitoring, pt without the symptoms of end organ damage can be treated as an outpatient provided all routine work should be done.(ecg,sr creat ,urea,bsl, lipids,thyroid,etc)
Thank you doctor
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HTNSIVE URGENCY? ANY UNDERLYING COMORBIDITY NEEDS INJECTABLE ANTI HTNSIVES AS PER HER DISEASE STATUS LIKE LABETALOL/ENALAPRILAT/LOOP DIURETIC.. DOESN'T MATTER PATIENT ASYMPTOMATIC OR SYMPTOMATIC
Telmikaa amh

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