Angelo Vertti, 18 de setembro de 2022

Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. A study by Slagman et al. Systolic Range (mm Hg). This ppt presentation uploaded by onlinesearch in Health & Wellness ppt presentation category is available for free download,and can be used according to your industries like finance, marketing, education, health and many more. Hence, it is necessary address these factors and also to ensure effective follow-ups and reminders in order to improve adherence to the non-pharmacologic management of hypertension. Presentation Summary: Non-pharmacological approaches are an important aspect of asthma management. This guideline includes recommendations on: diagnosing hypertension. The role of non-pharmacological approaches to pain management is evolving, and some non-pharmacological and complementary therapies have an increasingly important contribution to make to holistic patient care alongside analgesics. Medline Google Scholar As a major modifiable risk factor for cardiovascular disease in this high-risk population, treatment of hypertension in CKD is important. The treatment should be therefore personalized since not every patient will benefit from a specific treatment. The 2021 WHO hypertension guideline aims to provide the most current and relevant evidencebased global public health guidance on the initiation of treatment (with pharmacological agents) for hypertension in adults. High-level evidence is available for some non-pharmacological approaches. CLINICAL PRACTICE GUIDELINES - MANAGEMENT OF HYPERTENSION, 5TH EDITION (2018) 1. However, newer drug therapies have been introduced that include angiotensin-converting enzyme . View Gestational Hypertension PowerPoint Presentation 2017 02132017.pptx from MED MISC at Richland Community College. 2004;70 (12):2317-2324. Diabetes Mellitus (DM) Management of DM (non-pharmacological treatments) Dietary management. Management of hypertension has been a challenge and this indicates that the receipt of non-pharmacological management of hypertension evidence will play a critical role in ensuring that the problem is solved. It can be applied deeply or on surfaces. being antegrade amnesic and anxiolytic. Reduce blood pressure and ensure that it is maintained: Below 135/85 mm Hg for adults aged under 80. In any use of this work, there should be no suggestion that WHO endorses any specific . Only 2% of respondent GPs reported they had not recommended lifestyle changes to patients already on antihypertensive drugs. NON-PHARMACOLOGICAL TREATMENT OF HYPERTENSION Stella Palar f Hypertension treatment strategy: JNC VII Lifestyle modifications Not at goal blood pressure (<140/90 mmHg) (<130/80 mmHg for patients with diabetes or chronic kidney disease) Initial drug choices Without compelling With compelling indications indications Below 145/85 mm Hg for adults aged 80 and over. VI JNC, 1997 Types of hypertensionTypes of hypertension Essential hypertension - No underlying cause Secondary hypertension - Underlying cause The recommendations target adult, non-pregnant patients who were appropriately diagnosed with hypertension and counselled about life-style modifications. Inclusion criteria: Interventions for inclusion were physiological e.g. Treatment includes non-pharmacological approach to all kind of patients, independent of BP level, where the main objective is decrease cardiovascular morbidity and mortality with lifestyle changes. maintenance of hydration and rest, and external cooling, either . LANA K. WAGNER, M.D. ucted face-to-face and 30 by telephone. . 2. . Abstract Objective: Hypertension (HTN) is a pathologic condition characterized by sustained blood pressure (BP) readings higher than 139x89mmHg. Generally, these approaches are relatively inexpensive with high safety profile and low side effects. (1 and 5 mg/ml) Greater potency as compared toprocedures. NIGERIAN CONSENSUS ON THE MANAGEMENT OF HYPERTENSION GOAL: Therapeutic to reduce the systolic Blood pressure to below 140mmHg * TREAT Follow up for 3-6 months TREAT TREAT All patients are given non-pharmacological measures * Repeat measurement three times on at least two different occasions Systolic pressure > 160 mmHg Systolic blood pressure 3. For management of severe hypertension during pregnancy, the first line agents are intravenous hydralazine, intravenous labetalol and immediate release nifedipine. Routine Laboratory Tests Investigation of all patients with hypertension 1. lifestyle interventions. The age adjusted prevalence of hypertension among adults in the US population in 2011-2014 was 29 %. Am Fam Physician. Rapid onset of action. Most general practitioners reported offering non . Therefore, pharmacological management may become necessary to stem and alleviate symptom progression. 2 Hypertension - Clinical Approach Laboratory Evaluation Assess end organ damage - ECG LVH - Echocardiogram LVH - Proteinuria - Renal ultrasound - Renal function (lytes, BUN, Cr,) Screen for treatable causes - Renal artery stenosis (fibromuscular hyperp, atheroma) - Cushings disease Non-pharmacologic therapy (life style modification) 1. The importance of diabetes management in the primary care setting cannot be overstated. Uploaded on Jan 07, 2020 Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. Non-pharmacological methods should be initiated early phase of disease and should be continued with medication. Contents. The guideline provides new recommendations on the threshold for the initiation of pharmacological treatment for hypertension, as well as recommendations on intervals for follow up, target blood Hypertension is one of the most preventable contributors to disease and death. Non-pharmacological management Following an accurate diagnosis of hypertension in a patient on dialysis, hypertension management requires adequate control of excess sodium and fluid volume 11.. Non pharmacological treatment; Medicinal / pharmacological treatment; Non pharmacological treatment and management depends upon the lifestyle modification and identification of risk factors. [1] Salient Facts assessing cardiovascular risk and target organ damage. The diagnosis of hypertension should be based on office blood pressure reading of >140/90. Non-pharmacological treatment as well as nutraceuticals can also play an important role while management of hypertension during pregnancy. 12% still indicated they recommended lifestyle changes only. The following sections detail current evidence . Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. Patient education 7. Physical activities. pathogenetic. The pre-dialysis . Several meta-analyses of studies investigating pharmacological treatments for BPSD have been conducted to aid physicians in employing evidence-based medicine when treating patients with dementia. Approaches include avoidance of environmental exposures, physical activity and educational interventions. Among low-risk adults (no ASCVD or 10-year CVD risk <10%) with stage 1 hypertension (blood pressure 130-139/80-89 mmHg), management starts with nonpharmacologic therapy. In those with stage 3 or higher CKD or stage 1 or 2 CKD with albuminuria (>300 mg/day), treatment with an ACE inhibitor is reasonable to slow progression of kidney disease. 1Sarafidis PA, et al. This article will discuss non-pharmacological management. The disorder . The following major areas in non-pharmacological management and patient education in HF patients can be identified: Diet and Nutrition Controlling the amount of salt in the diet (<2,000mg) is relevant in patients with advanced HF 4,8 and a fluid restriction of 1,500-2,000ml should be advised to advanced HF patients. Overview. HBPM and ABPM readings are lower than office readings. Standard 12-leads ECG Hypertension in dialysis patients. It is cheap and easy to use and it has a minimum amount of side effects when used regularly. The guideline development group for the diagnosis and pharmacological treatment of hypertension in adults. Initially, therapy in ACS requires treatment of symptoms, which typically involves the use of nitrates. Used mainly for short. The current definition of hypertension (HTN) is systolic blood pressure (SBP) values of 130mmHg or more and/or diastolic blood pressure (DBP) more than 80 mmHg. This publication presents guidelines that recognize the complementary nature of non-pharmacological approaches to management and pharmacotherapy and which are cost-effective. Hypertension is defined as systolic blood pressure (SBP) of 140 mmHg or greater, diastolic blood pressure (DBP) of 90 mmHg or greater, or taking antihypertensive medication. Clinical Management: Non-Pharmacological Therapy What is the only real cure for gestational hypertension? The threshold for diagnosis by HBPM mean and. Non-Pharmacological Therapies in Pain Management 489 2.1.2 Hot-cold treatment Hot treatment moves the reflex arcs that inhibit the pain by means of heat receptors and reduces pain by vasodilatation effect. 287 Views Download Presentation HYPERTENSION. Dr Ingrid Hopper is a heart failure specialist physician at the Alfred Hospital in Melbourne References: 1. Hypertension is a major risk factor for a number of cardiovascular diseases. In 2007, comprehensive guidelines on cardiovascular risk included some recommendations on hypertension but . 3. Stress management - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3f1883-MjVjY Management of hypertension has been a challenge and this indicates that the receipt of non-pharmacological management of hypertension evidence will play a critical role in ensuring that the problem is solved. In the past, thiazide diuretics and -blockers were highly recommended as the only first-line therapies due to landmark evidence that demonstrated reduced risks of cardiovascular (CV) events. 86% of respondents stated they prescribed both drugs and lifestyle changes in severe hypertension (defined as a diastolic blood pressure of 100+ mmHg). A. Sustained hypertension can damage blood vessels in kidney, brain and heart = incidence of renal failure, cardiac failure and stroke. monitoring treatment and blood pressure targets. World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. [ 57] found that, in those already established on RAAS blockade, reducing dietary sodium intake to a target of < 50 mmol/day (~ 3 g/day of salt) decreased systolic BP by a further ~ 10 mmHg. Fluid restriction and volume management with standard hemodialysis are effective strategies to achieve dry weight and blood pressure control without use of antihypertensive drugs. An estimated 1.13 billion people worldwide have hypertension, most (two-thirds) living in low- and middle-income countries. since hypertension is associated with cardiovascular disease and diabetes, management and control is potentially costly. Referral for these services is recommended by standards of Care and is essential for improving outcomes and . It not only improves the patients, it also ultimately improves their quality of life. 2. The combination of non-pharmacologic with pharmacologic treatment will give the best result. Approaches to the management of heart failure can be both non-pharmacological and pharmacological; each approach complements the other. Blood chemistry (potassium, sodium and creatinine) 4. The AHA/ACC has released a scientific statement in 2021 offering new guidance for management of stage 1 hypertension among patients with low ASCVD risk. One of the most important things to note is that hypertension management has been an issue of concern in different parts across the world. Gestational Hypertension Disease Defined Negative! The use of humorous cartoons that promote negative stereotypes should be discouraged. The recommendations target the general adult, non-pregnant, hypertensive population. mechanisms, that is sodium and volume excess. Although Hypertension Canada continues . Winner of the Standing Ovation Award for "Best PowerPoint Templates" from Presentations Magazine. Switching inhaler device or molecules within the same class (e.g., using a different long acting bronchodilator) may be considered as appropriate. The effect of pharmacologic and non-pharmacologic treatment in OA as shown by randomized control trials (RCTs) is often small or moderate. 1 - 3 It is prevalent in most of the developed, underdeveloped, and developing countries. Fasting total cholesterol and high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol (LDL), triglycerides 6. The JNC 8 panel, consisting of 17 mem-bers, was commissioned by the NHLBI in 2008. CKD is common and frequently complicated with hypertension both predialysis and in ESKD. Non-pharmacological interventions help reduce the daily dose of antihypertensive medication and delay the progression from prehypertension to hypertension stage. diazepam. Fasting glucose 5. Non-pharmacological strategies. (Versed) muscle relaxant properties as well asin pediatric context. 2017;35(4):657-676. PICO question 11: Can pharmacological management of hypertension be provided by . They are all artistically enhanced with visually stunning color, shadow and lighting effects. Summary. In 2015, 1 in 4 men and 1 in 5 women had hypertension. End of preview. One of the most important things to note is that hypertension management has been an issue of concern in different parts across the world. Persistent BP readings of 140/90mmHg or more should undergo treatment with the usual therapeutic target of 130/80mmHg or less. Diagnosis and Management of Preeclampsia. Overview The pharmacologic management of hypertension has evolved significantly over the past few decades. Kieran McGlade Nov 2001 Department of General Practice QUB Hypertension. blood. As of 2015, diabetes affects 30.3 million Americans, or about 9.4% of the population ().Worldwide, the number is estimated to be a staggering 422 million adults, and if the incidence continues to rise at its current pace, the number of people with diabetes is projected to reach 592 million by 2035 (). Non-Hispanic blacks had the highest age adjusted prevalence (41.2%) Non-Hispanic whites had an intermediate prevalence (28.0%) Non-Hispanic Asians and Hispanics had the lowest prevalence (24.9% and 25.9% respectively) There are a variety of effective non-phamacological therapies for diabetes. However, in June 2013, the NHLBI an-nounced it was withdrawing from guideline development and was delegating it to selected specialty organizations.3,4 In the interest of bringing the already delayed guidelines to the public in a timely manner, the JNC 8 panel. Hypertension is defined as persistent elevation of systolic BP of 140mmHg or greater and/or diastolic BP of 90 mmHg or greater. Nonpharmacological management of pain involves the use of suitable housing, bed rest, gentle handling and manipulation (massage, osteopathic and chiropractic), meditative movements (such as Tai . Key points to consider when educating people about gout. Results There was an 84% response rate. First, the recent finding that sympathetic abnormalities favor the development and progression of target . Both researchers and practitioners need to know more about how laboratory treatment protocols translate to real-world practice settings and how clinical innovations can be systematically tested and communicated to a skeptical sci-entific community. JNC 8 (2014 Hypertension Guideline Management Algorithm) 2 6/24/2014 13 14. Hypertension is very common in dialysis patients. Stage. Hypertension affects approximately 1 of 3 adults in the United States, and about 2 million new cases are diagnosed each year.1,2 An additional 28% of the US population is afflicted with prehypertension, and approximately 7% of Americans are not aware that they even have hypertension.3 Globally, hypertension affects more than 1 billion people and is projected to reach 1.56 billion by 2025.4 It . In the setting of CAD emergency, the height of the blood pressure with acute coronary syndrome (ACS) presentation may be referred to or simply the presence of hypertension with ACS. Non-Pharmacological Treatment There are a number of non-pharmacological treatments for hypertension in the context of CKD. The renewed interest of investigators and clinicians the role of the sympathetic nervous system in hypertension and its relevance as a target for non-pharmacological as well as pharmacological interventions comes from a number of sources. Weight loss 2. Hypertension Canada is pleased to launch the 2020 guidelines for the prevention, diagnosis, risk assessment and treatment of hypertension in adults and children. Treatment of hypertension with an ARB can be useful for prevention of recurrence of atrial fibrillation. These approaches are used in combination with medications. J Hypertens. If the captopril test is positive, a renin-angiotensin system blocker should be started. 2. Indian J Community Med. Diastolic Range (mm Hg). Hypertension is defined as systolic blood pressure (SBP) of 140 mmHg or greater, diastolic blood pressure (DBP) of 90 mmHg or greater, or taking antihypertensive medication. Dietary sodium restriction ideally to 1.5 g/day (3.8 g/day sodium chloride). Many of them are also animated. Normal BP control mechanisms. If you twist your ankle and it's painful and swollen, applying an ice pack intermittently can help reduce the . Non-DHP CCB DHP CCB Nitrat es Aldosteron e Antagonist Hydralazine/ Isosorbide Dinitrate Stable Angina 1* 1 1 2 2 1 2 ACS 1* 1 1 2 2 2 2 HF 1 1 1 2 1 2 Pharmacological Treatment of Hypertension in the Management of Ischemic Heart Disease hypertension is a hemodynamic disorder a well accepted definition of hypertension was suggested by evans and rose: "hypertension should be defined in the terms of blood pressure level above which investigation and treatment do good more than harm" a patient is said to be hypertensive when his sbp 140 mm hg & dbp 90 mm hg provided that the The study found that adherence to non-pharmacologic management of hypertension is greatly influenced by one's finances, some personal factors and external influences. The most important cause of hypertension is hypervolemia. DETECTION OF HYPERTENSION 1 EVALUATION MEDICAL HISTORY EXAMINATION INVESTIGATIONS 3,5,7 TREATMENT PATIENT EDUCATION NON-PHARMACOLOGICAL (LIFESTYLE) MANAGEMENT MEASURES PHARMACOLOGICAL THERAPY HYPERTENSIVE EMERGENCIES 13 REFRACTORY HYPERTENSION HYPERTENSION IN CHILDREN AND ADOLESCENTS HYPERTENSION IN THE ELDERLY SPECIAL MANAGEMENT PROBLEMS 148 Subramanian H, Soudarssanane MB, Jayalakshmy R, Thiruselvakumar D, Navasakthi D, Sahai A, Saptharishi L. Nonpharmacological interventions in hypertension: a communitybased crossover randomized controlled trial. choosing antihypertensive drug treatment (treatment steps 1 to 4) measuring blood pressure. Adjust . Exercise 5. DASH Plan 3. People with gout should be educated about the pathogenesis, associated co-morbidities and management of gout, including both pharmacological and non-pharmacological management. Pharmacological strategies. Clinical Practice Guidelines to. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Non-pharmacological lifestyle interventions should be encouraged to mitigate the risk of developing hypertension, and as an adjunctive therapy to reduce the need for medications. 1 - 3 Based on data from 2007 to 2010, 33% of U.S. adults 20 years and olderan estimated 78 millionhave. Hypertension is not only one of the major risk factors for most forms of cardiovascular disease, but it is a condition with its own risk factors. #### Non-pharmacological measures for the management of heart failure Effective counselling and education of patients, and of the relatives or carers, is important and may enhance long term adherence to . Hypertension - or elevated blood pressure - is a serious medical condition that significantly increases the risks of heart, brain, kidney and other diseases. Pharmacologic Management of Hypertension Fernando Vega, M.D. Limited alcohol intake 6. Adoption of the Dietary Approaches to Stop Hypertension (DASH) eating plan, that is, consumption of a diet rich in fruits and vegetables (8-10 servings/day), rich in low-fat dairy products (2-3 servings/day) with reduced saturated and total fat. The role of non-pharmacological management in the treatment of heart failure cannot be emphasised enough. Adjust pharmacological treatment, including escalation or de-escalation. When using ABPM or HBPM to monitor the response to treatment in adults with hypertension, use the average blood pressure level taken during the person's usual waking hours. Complete blood count 3. Main outcome measures Aspects of the medical histories of patients, physical examination, laboratory testing and treatment relevant to non-pharmacological management. starting antihypertensive drug treatment. CKD: BP goal should be <130/80 mm Hg. Midazolam Possesses hypnotic, anticonvulsant and Little data for effective dose. Assess inhaler technique and adherence, and the role of non-pharmacological approaches (covered later in this chapter). Subjects A random sample of 100 Auckland general practitioners. Immediate management. The prevalence of hypertension in Malaysians aged 18 years and above was 35.3% in 2015, a slight increase from 33.6% in 2011. 2011;191-196. Management of hypertension in dialysis patients should focus at correction of the primary . We review the mechanisms and indications for the major classes of antihypertensive drugs, including angiotensin-converting enzyme inhibitors, angiotensin II receptor . Urinalysis 2. Want to read all 22 pages? Setting Auckland general practices. 1 INTRODUCTION Hypertension is one of the most important preventable cardiovascular risk factor which impacts health, disease, and death. Renin -angiotensin -aldosterone system Baroreceptor reflex. Proper management of hypertension may require both pharmacological and non-pharmacological interventions. Dietary salt restriction 4. VI JNC, 1997 Slide 3- Types of hypertension Essential hypertension 95% No underlying cause Secondary hypertension Underlying cause Slide 4- Common non-pharmacological interventions include the use of ice, rest, and elevation. WHO guidelines dealing specifically with raised blood pressure were last published 20 years ago- in 1999 - and are now outdated. All of these begin with basic diabetes self-management education (DSME) and Medical Nutrition Therapy (MNT) and include on-going education and support. Objective: The objective of this systematic review was to establish what non-pharmacological practices are effective in managing fever in children, three months to 12 years of age, who are otherwise healthy.

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