Hypertension HTN

• Facts:
  140/90 on three separate occasions
  
  Severe HTN=>210 systolic, >120 diastolic, or end organ effects (requires immediate treatment)
• Diagnosis:
  Urinalysis, BMP, EKG, H/H
• Treatment:
  First line = thiazide diuretic, beta blockers (provided no contraindications)
  
  Second line = ACEIs, ARBs, and Ca Channel blockers
  
  Pt with comorbidities = ACEIs
  
  Pregnant pts = hydralazine, labetalol, and alpha-methyldopa
  
  HTN emergency = nitroprusside , nitroglycerin , or beta blocker (eg. labetalol)