ADULT HYPERTENSION PROTOCOL STANFORD COORDINATED CARE
STANFORD HOSPITAL AND CLINICS
ADULT HYPERTENSION PROTOCOL STANFORD COORDINATED CARE ___________________________________________________________________
I.
PURPOSE
To establish guidelines for the monitoring of antihypertensive therapy in adult patients and to define the roles and responsibilities of the collaborating clinical pharmacist and pharmacy resident.
SUPPORTIVE INFORMATION
Goal of Therapy
The ultimate goal of antihypertensive therapy is the reduction of cardiovascular and renal morbidity and mortality. Since most persons with hypertension, especially those age >50 years, will reach the DBP goal once SBP is at goal, the primary focus should be on achieving the SBP goal. Treating SBP and DBP to targets that are 5 mEq/L before treatment Pregnancy or those likely to become pregnant
Drug Therapy to Avoid ACEI Beta-blocker Thiazide diuretic Beta-blocker, CCB (non-DHP) Thiazide diuretic Potassium sparing diuretic, aldosterone antagonist ACEI, ARB
Adult Hypertension Protocol ? Stanford Coordinated Care
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