NR 566 Week 3 Hypertension Guidelines Discussion (GRADED A)
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Course
NR 566
Institution
Chamberlain College Of Nursing
Do a web search to locate the current JNC8 and ACC/AHA guidelines for hypertension.
Compare and contrast the two sets of guidelines according to the following:
Define the classes of hypertension (normal, elevated, stage 1 & stage 2) according to each guideline.
What are the thresholds for init...
With JNC8 the threshold for initiating treatment includes anyone over the age of 60 with
blood pressure over 150 systolic and 90 diastolic, and patients with other comorbidities
such as diabetes, or kidney disease with blood pressure over 140 systolic, and 90
diastolic (Hernandez-Vila, 2015).
The ACC/AHA guidelines for initiation of treatment are patients with systolic blood
pressure over 130 or diastolic pressure over 90 if the patient has a known history of
cardiovascular disease or greater than 10 percent atherosclerotic cardiovascular
disease (AHA, 2017).
What are the treatment goals? (Hint: there may be multiple treatment goals based
on certain populations such as diabetics)
JNC8
The treatment goal is to maintain blood pressure under 140/90 if the patient is under
the age of 60 or has other comorbid conditions such as diabetes or chronic kidney
disease (Hernandez-Vila, 2015). If the patient is over the age of 60, the treatment goal
is to maintain blood pressure under 150/90 (Hernandez-Vila, 2015).
ACC/AHA
The treatment goal is to maintain blood pressure under 130/80 (AHA, 2017). Treatment
starts when the patient has elevated blood pressure. Providers should recommend
lifestyle changes and reassess the patient's blood pressure in three to six months
(AHA, 2017). If the patient has cardiovascular risk factors higher than ten percent or
has other comorbidities, they should be placed on a blood pressure-lowing medication
(AHA, 2017). Reassess in one month to determine effectiveness (AHA, 2017).
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