how to manage SEVERE hypertension

April 2014

Questions often come up about how to manage SEVERE hypertension.

Getting a BP reading > 180/120 mmHg can be scary. But immediate treatment usually isn't needed...and may cause harm.

First, recheck BP after the patient relaxes for AT LEAST 5 min...and make sure the bladder of the BP cuff circles at least 80% of the arm.

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Table of Contents

Pharmacy Technicians big changes in the roles of pharmacy technicians
Respiratory & Allergy two new once-daily combo inhalers for COPD, Anoro Ellipta (a-NOR-oh ee-LIP-ta) and Ultibro Breezhaler (UHL-tee-broh BREEZE-hale-er)
Diabetes more emphasis on improving care of diabetes patients
Vaccines Bexsero (BEX-sare-roe, meningococcal B vaccine) will be the first meningococcal vaccine to cover serogroup B
Women's Health whether acetaminophen is risky during pregnancy
Neurology & Pain how to handle controlled substance Rxs for patients with a "pain contract" or treatment agreement
Pediatrics dexamethasone for asthma exacerbations
Psychiatry the risk of hypercalcemia with lithium therapy
Heart Failure You'll get questions about appropriate use and dosing of digoxin
Stroke more focus on preventing strokes in YOUNGER WOMEN
Hypertension how to manage SEVERE hypertension
Ulcers Are H2-blockers making a big comeback for stress ulcer prophylaxis
Restless Legs more interest in using pregabalin (Lyrica, etc) for restless legs syndrome