the once hypertension has been diagnosed of the first step is to talk about uh...
to patients about their lifestyle and see if they are doing anything
and that
now that they could change uh... and not do or perhaps something that they could
start doing that would help lower their blood pressure
depending on the level of the blood pressure age of the patient and uh...
other medical problems we may try alike style first
uh... approach to lauren blood pressure
this is often appropriate in uh... outpatient his first i know steve blood
pressures not real high
on and perhaps have some respect yours
to adjust
and we'd recommend apollo thirteen died
i'd diet that is rich and potassium and calcium something like i dash diet the
dietary approach to stop hypertension
which is a diet that's haha i am fruits and vegetables uh... low in meet high in
calcium
uh... all of these things uh... increasing physical activity and losing
weight if the person is over weight
uh... over a period of several months this often ken uh... lower the blood
pressure pretty substantially and in somebody who has a mild elevation may be
enough
for that individual who either has an initial high blood pressure
uh... that we don't think that lifestyle will be and now for we still recommend
those lifestyle changes that we may miss innate need to unusually eight medical
treatment or pharmacological treatment
we use um... uh... the one thing that's great about uh... are armament arian for
hypertension is we have so many different classes of drugs that we can
use
that are effective
and often these drugs
treats other conditions as well and so we choose a up first
drug for a patient based often and other things
that they have going on with him for instance if they have migraine headaches
we might choose eight pay calcium channel blocker or beta blocker
because that might not only lower blood pressure but also treat
the headache
if they are diabetic we might try and a sin have bitter orange at antique ensign
receptor blocker type medication
or get their an older woman we might try and i read it for so depending on debt
that individual and what we know about their other medical problems
we can choose uh... often first a single or or more frequently now
starting with two medications
we often will need to or three anti-hypertensive medications to get
good blood pressure control
patient should not do you this as failure and in fact well over half of
individuals in need at least two medications to get blood pressure
control
it's actually a good thing instead of using very high doses that might cause
side effects of the single medication we is the best of two complimentary
medications at low doses and get a better affect with lower side effects