Diagnostic studies : Blood Pressure

Diagnostic studies

  • Diagnostic assessment
    • History and physical examination, including an ophthalmic examination
    • Routine urinalysis
    • Basic metabolic panel (serum glucose, sodium, potassium, chloride, carbon dioxide, BUN, and creatinine)
    • Complete blood count
    • Serum lipid proile (total lipids, triglycerides, HDL and LDL cholesterol, total-to-HDL cholesterol ratio)
    • Serum uric acid, calcium, and magnesium
    • 12-lead electrocardiogram (ECG)
    • Optional:
      • 24-hr urinary creatinine clearance
      • Echocardiography
      • Liver function studies
      • Serum thyroid-stimulating hormone (TSH)
  • Management
    • Periodic monitoring of BP
    • Home BP monitoring
    • Ambulatory BP monitoring
    • Every 3-6 months by a HCP once goal BP is achieved and stabilized
    • Nutritional therapy
    • Restrict salt and sodium
    • Restrict cholesterol and saturated fats
    • Maintain adequate intake of potassium, calcium, and magnesium
    • Weight management
    • Regular, moderate physical activity
    • Tobacco cessation
    • Moderation of alcohol intake
    • Stress management techniques
    • Antihypertensive drugs
    • Patient and caregiver teaching

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