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 ...
Module 1Framework for Population Approach in the Prevention and Control ofHypertension across the Life CourseAgegroupLifestyleadviceRiskassessmentScreeningDiseasemanagementComplicationmonitoringRehabilitationcareElderly●●Abstain fromsmoking●●Smokingcessation forsmokers●●Healthy eatinghabit●●Limit sodiumintake●●Weightmanagement●●Regularexercise●●Monitor BMI●●Monitorabdominalcircumference●●Diabetes●●Measurebloodpressureas abovementioned●●Blood pressureand lipid control●●Beware ofincreased risk ofhypotension inelderly●●Monitor theadverse effect ofdrug treatment●●Self-care●●Carer educationand support●●Hypotension●●Malignanthypertension●●Target organdamage:nephropathy,neuropathy,cardiovascularcomplications●●Optimisepatient’s potentialto cope withhypertension andits complications.Example:myocardialinfarction,cerebrovasculardisease,nephropathy, etc.●●Provide supportto carer and lovedones●●Multidisciplinaryapproach inrehabilitation forstroke and renalfailureReference:1. The Royal Australian College of General Practitioners. Guidelines for preventive activitiesin general practice. [Internet]. South Melbourne(Australia): The Royal Australian Collegeof General Practitioners; c2009. Available from: http://www.racgp.org.au/redbook/index3 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Module 2Blood Pressure Measurement1. Equipment for recording blood pressure1.1 Sphygmomanometeri. Mercury sphygmomanometer – the most reliable type of instrument forrecording blood pressure.ii.Electronic devices – can also be used, but periodic calibration shouldbe done to ensure its accuracy.iii. Electronic devices that record the pressure in the fingers or the wristshould be avoided.1.2 Checking of mercury sphygmomanometeri. The column of the manometer is in the intended position (vertical).ii. Mercury level is at zero when cuff is deflated.iii.No blockage of the air venting system at the top of the manometer.iv. A sluggish response or bouncing of the mercury column duringinflation and deflation usually indicates a blocked vent.v. No leakage from rubber tubing, hand pump and control valve:a. Roll a cloth cuff into its own tail.b. Pump up to 200 mmHg and wait for 10 seconds.c. Mercury should fall < 2 mmHg in 10 seconds.d. If fall > 2 mmHg, clamp circuit in sections to locate the leakage orreplace the control valve.1.3 Checking of electronic devicesi. Routine checks - compare the reading with mercurysphygmomanometer.ii. Periodic calibration is needed.iii. If consistent discrepancies of more than 5 mmHg persist, referto service manual or send the monitor to a trained technician forcalibration.1 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
- Page 2: ContentPreface.....................
- Page 6 and 7: Key To Evidence Statements And Grad
- Page 8 and 9: Chapter 1.EpidemiologyHypertension
- Page 12 and 13: Chapter 6.Component 1: Prevention O
- Page 14 and 15: Chapter 7.Component 2: Early Identi
- Page 16 and 17: Chapter 8.Component 3: Clinical Car
- Page 18 and 19: Chapter 8.Component 3: Clinical Car
- Page 20 and 21: Chapter 8.Component 3: Clinical Car
- Page 22 and 23: Chapter 8.Component 3: Clinical Car
- Page 24 and 25: Chapter 8.Component 3: Clinical Car
- Page 26 and 27: Chapter 9.Component 4: Patient Empo
- Page 28 and 29: Appendix 1. Smoking Cessation Servi
- Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
- Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
- Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
- Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
- Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
- Page 40 and 41: Module 1 Framework for Population A
- Page 44 and 45: Module 2Blood Pressure Measurement2
- Page 46 and 47: Module 2Blood Pressure Measurement4
- Page 48 and 49: Module 3 Secondary Hypertension 1,2
- Page 50 and 51: Module 4Evaluation for All Newly Di
- Page 52 and 53: Module 4Evaluation for All Newly Di
- Page 54 and 55: Module 5Dietary InterventionFood Gr
- Page 56 and 57: Module 5Dietary InterventionMeals a
- Page 58 and 59: Module 5Dietary InterventionReferen
- Page 60 and 61: Module 6Exercise Recommendations to
- Page 62 and 63: Module 6Exercise Recommendations to
- Page 64 and 65: Module 6Exercise Recommendations to
- Page 66 and 67: Module 7Drug Treatment for People w
- Page 68 and 69: Module 7Drug Treatment for People w
- Page 70 and 71: Module 7Drug Treatment for People w
- Page 72 and 73: Module 7Drug Treatment for People w
- Page 74 and 75: Module 8Annual AssessmentLaboratory
Module 1<strong>Framework</strong> <strong>for</strong> Population Approach in the Prevention and Control of<strong>Hypertension</strong> across the Life CourseAgegroupLifestyleadviceRiskassessmentScreeningDiseasemanagementComplicationmonitoringRehabilitationcareElderly●●Abstain fromsmoking●●Smokingcessation <strong>for</strong>smokers●●Healthy eatinghabit●●Limit sodiumintake●●Weightmanagement●●Regularexercise●●Monitor BMI●●Monitorabdominalcircumference●●Diabetes●●Measurebloodpressureas abovementioned●●Blood pressureand lipid control●●Beware ofincreased risk ofhypotension inelderly●●Monitor theadverse effect ofdrug treatment●●Self-care●●<strong>Care</strong>r educationand support●●Hypotension●●Malignanthypertension●●Target organdamage:nephropathy,neuropathy,cardiovascularcomplications●●Optimisepatient’s potentialto cope withhypertension andits complications.Example:myocardialinfarction,cerebrovasculardisease,nephropathy, etc.●●Provide supportto carer and lovedones●●Multidisciplinaryapproach inrehabilitation <strong>for</strong>stroke and renalfailure<strong>Reference</strong>:1. The Royal Australian College of General Practitioners. Guidelines <strong>for</strong> preventive activitiesin general practice. [Internet]. South Melbourne(Australia): The Royal Australian Collegeof General Practitioners; c2009. Available from: http://www.racgp.org.au/redbook/index3 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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