2010 Hong Kong Reference Framework for Hypertension Care for ...
2010 Hong Kong Reference Framework for Hypertension Care for ...
2010 Hong Kong Reference Framework for Hypertension Care for ...
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Chapter 8.Component 3: Clinical <strong>Care</strong> Of Adults With <strong>Hypertension</strong>To help monitor patient progress, it is recommended to have a clinical data baseto capture key criteria such as:●●●●●●●●●●●●●●blood pressure,risk profile status and trend,drug regimen,compliance,side effect,end organ assessment result, andspecialist care.In addition to routine follow-up, annual assessment is recommended <strong>for</strong> allpatients under antihypertensive treatment. Module 8 provides details regardingannual assessment <strong>for</strong> people with hypertension.8.5 ReferralMost patients with uncomplicated hypertension can be managed by their primarycare practitioners. However, certain situations may warrant referral to specialists<strong>for</strong> assessment (Box 2).Box 2. Referral to SpecialistsImmediate referral to hospital setting●●Malignant hypertension●●●●●●»»DBP > 130mmHg»»Heavy proteinuria»»Papilloedema»»EncephalopathyAccelerated hypertension: DBP > 130mmHg and retinal hemorrhagePersistent BP > 220/120mmHg despite rest or drug treatmentPregnancy:»»BP ≥ 140/90mmHg and > 20 weeks gestation»»Signs and symptoms of pre-eclampsia (headache, proteinuria, oedema)17 HK <strong>Reference</strong> <strong>Framework</strong> <strong>for</strong> <strong>Hypertension</strong> <strong>Care</strong> <strong>for</strong> Adults in Primary <strong>Care</strong> Settings
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