【高血压英文ppt课件】The Pharmacists Role in Treating Hypertension.pptVIP

Counseling Patients: Lifelong Treatment Objective: reduce BP and metabolic abnormalities Pharmacotherapy lifestyle modification Reduce sodium intake Weight loss Exercise Moderating alcohol Reduce systolic BP by 21 to 55 mm Hg Cecil, 2004 Counseling Patients: Dietary Changes Losing only 10 to 12 lbs lowers BP by 10/5 mm Hg Reduce daily salt 10 to 6 grams Teach patients to read food labels DASH Diet /health/public/heart/dash Cecil, 2004 Counseling Patients: Health Behaviors Lifestyle modification Recommendation Range of systolic blood pressure reduction (mm Hg) Weight loss Maintain a normal body weight based on BMI 5–20 Dietary Approaches Diet high in fruits and vegetables, and reduced fat 8–14 Low sodium diet Less than 6 grams 2–8 Exercise 30 min of aerobic activity at least 4 d/wk 4–9 Moderate Alcohol consumption 2 drinks or less per day for men, and 1 drink or less per day for women 2–4 JNC, 2005 Counseling Patients:Helpful Resources Barriers to Successful Health Behavior Modifications Lack of education Lack of access to safe places to exercise Added salt in prepared foods and restaurant meals Higher cost of foods low in salt Patient self-management is realistic and feasible! Cecil, 2004 代理报关委托书委托报关协议关于审理城镇房屋租赁合同纠纷案件司法解释有关劳务派遣制度设计及对劳务派遣行业的影响分析糖皮质激素在呼吸系统疾病中的合理应用严重脓毒症导致急性肺损伤病人自发利尿现象的观察分析 The Pharmacists’ Role in Treating Hypertension Thomas Owens, MD Saint Francis University CERMUSA Objectives Enhance your understanding of hypertension to include cardiovascular risks, management, and goals for individual patients Review and discuss the current pharmacotherapy standards of care for hypertension Describe the pharmacist’s role in counseling patients on hypertensive medications Hypertension 140/90 mm Hg United States: 65 million adults Risk factors include: Stroke, myocardial infarction, heart failure, peripheral vascular disease, aortic dissection, chronic renal failure Hypertension price tag: $59.7 billion Wexler Feldman, 2005 Hypertension