Question

Disqualified for stage III, now BP is less than 140/90 and medications are tolerated. What is the next step?

1) Re-evaluate the patient's condition
2) Adjust the medication dosage
3) Change the medication
4) Refer the patient to a specialist

Answer 1

The next step after stabilizing a patient's blood pressure below 140/90 mmHg while tolerating medications is to regularly re-evaluate the patient's condition to ensure ongoing management of hypertension.

Step-by-step explanation:

Once blood pressure (BP) is reduced to less than 140/90 mmHg and the patient is tolerating medications well, the next step is to re-evaluate the patient's condition. This involves regular monitoring to ensure that BP remains within the target range and checking for any potential side effects of the medication. It is crucial to maintain regular follow-ups and reassess both the effectiveness of the medication and the overall health of the patient. Adjusting the medication dosage or changing the medication should only be considered if the BP is not maintained at the target level or if adverse effects are noted. Referral to a specialist might be required if there is difficulty in managing the BP, if there is evidence of secondary hypertension, or if there are complications that need specialized care.

Given that hypertension is termed the "silent killer" because patients often do not notice symptoms, consistent monitoring and management of BP are vital. Beta blockers are often recommended first line for hypertension, but treatment can vary depending on individual patient factors. Lifestyle changes such as reduced salt intake and healthier diet are also important and may reduce the need for medication adjustments unless the patient's condition changes.