Answered) NR566 Week 3: Hypertension Guidelines

Requirements: 

  1. Do a web search to locate the current JNC8 and ACC/AHA guidelines for hypertension.  
  2. 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 initiating treatment? 
    • What are the treatment goals? (Hint: there may be multiple treatment goals based on certain populations such as diabetics)  
    • What medications are recommended to treat hypertension in the African American population? 
    • Discuss why one set of guidelines might be used over the other (i.e., is one superior to the other ?)  

Solution:

 Description JNC8  (Hernandez-Vila E, 2015). ACC/AHA: (Bakris, Ali, & Parati, 2019).
classes of hypertension Normal: Less than 120/80 mm Hg;

Prehypertension: Systolic 120-139 mm Hg, diastolic 80-89 mm Hg

Stage 1: Systolic between 140-159 or diastolic between 90-99;

Stage 2: Systolic greater than 160 or diastolic greater than 100 mm Hg;

Normal: Less than 120/80 mm Hg;

Elevated: Systolic between 120-129 and diastolic less than 80;

Stage 1: Systolic between 130-139 or diastolic between 80-89;

Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;

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