In jnc 8, the initial drug choice is broadened to four classes. Jnc 8 guidelines for the management of hypertension in adults. Be sure to check out the sprint treatment algorithm in reference 4 in resources. A view from a member of jnc 7 benefit either as 1 st or 2 ndline therapy ctd twice as potent as hctz ctd longer duration of action hctz 2550 mgd vs. Uncontrolled high blood pressure bp can lead to heart attack, stroke, heart failure and other serious life threats. In addition, jnc 7 recommended a lower treatment threshold 80 mm hg for patients with diabetes or chronic kidney disease, but jnc 8 does not. Updated hypertension recommendations from panel members previously appointed to the eight joint national committee jnc 8 raised blood pressure goals in adults age 60 and older to less than 15090 mm hg, with patients younger than 60 years old including those with chronic kidney disease and diabetes having a target of less than 14090 mm hg. Smoking cessation control blood glucose and lipids diet eat healthy i. Jnc 8 hypertension guideline algorithm initial drugs of. Start one drug, titrate to maximum dose, and then add a.
Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. The slide below is the 2014 hypertension guideline algorithm. There have been controversial discussions regarding the most evidencebased blood pressure management guidelines after the release of the eighth joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc8 guidelines. Quick reference sheets quick reference sheets view and download printable pdf reference sheets. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Eighth joint national committee jnc8 guidelines and the.
Test your indepth knowledge of this guideline with cme, ce and moc educational activities. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Jnc 8 guidelines were an evidencebased, focused set of rec ommendations. Jnc8 hypertension management guidelines and those who were treated with other regimens. Quick reference to cardiovascular diseases jama jama.
Carrie armstrong, afp senior associate editor subject. Explore jnc 8 hypertension guidelines from jama network. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Jnc 8 guidelines ease up on bp thresholds, drug choices. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Joint national committee jnc guidelines for hypertension. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Jnc 8 guidelines for the management of hypertension in adults author. Levey, whitney wharton j gerontol a biol sci med sci. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension update, jnc8 and beyond pharmacology and. As in jnc 7, the jnc 8 guidelines also recommend lifestyle changes as an important component of therapy. The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based recommendations for management of hypertension and is an important reference for clinicians.
Discover how thousands of men and women worldwide have already used the reverse diabetes today system to lower blood sugar to normal and safely reverse their type 2 diabetes without drugs or insulin. A quick reference for busy clinicians, if they find it useful, i. The aha is launching a new initiative that elevates awareness and adoption of ahas 2017 hypertension clinical guidelines. The previous guidelines jnc 7 was in 2003 and this focused. Eighth joint national committee jnc8 guidelines and the outpatient management of hypertension in the africanamerican population. Jnc 8 new guideline hypertension chart pharmacy exam. Jnc 8 uses 14090 for patients with diabetes or chronic kidney disease. Lifestyle interventions include use of the dietary approaches to stop hypertension dash eating plan, weight loss, reduction in sodium intake to less than 2. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise. While we were waiting for jnc 8, the american society of hypertension ash in collaboration with the international society of hypertension released their own expert opinion piece aimed at prescribers. Unlike the jnc 7 guidelines, jnc 8 guidelines do not focus on the definition of hypertension and. Reference card from the seventh report of the joint.
The following tables are from jnc 8 reference 2 in resources below. Jnc 8 reference card pdf books reader jnc 8 reference card downloads at free download jnc 8 quick card guide pdf pdf manuals library jnc 8 quick card guide pdf digital library is a good source. Another contentious issue ofjnc 8 was the removal bb as. These items break the guidelines down into easytouse summaries. Please practice handwashing and social distancing, and. Algorithm for treatment of hypertension reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 evaluation classification of blood pressure bp category sbp mmhg dbp mmhg normal 80 and those with dm. Jnc 8 also backs away from the recommendation that thiazidetype diuretics should be initial therapy in most patients, suggesting an ace inhibitor, angiotensinreceptor blocker arb, calcium. The goal was to synthesize the evidence available at the time and put forth patient centered recommendations.
They prefer to invest their idle time to talk or hang out. Find all the guideline recommendations in powerpoint format here. In jnc 7, thiazidetype diuretics were recommended as initial drug therapy unless compelling reasons dictated another drug class, with ccbs, ace inhibitors, arbs, and. May 2, 2015 jnc 8 reference card guidelines hypertension guidelines. Hypertension medicine bibliographies cite this for me. High blood pressure american college of cardiology. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. This section contains many cheat sheets to assist the nurses and healthcare professionals in their work. Automatically reference everything correctly with citethisforme. Guideline guideline for the management of overweight and obesity in adults british guideline on the management of asthma quick reference guide jnc 8 hypertension hypertension systemic. Save your work forever, build multiple bibliographies, run plagiarism checks, and much more.
Jnc 8 change to a treatment threshold of 150 90 mmhg in this population would remove 5. When a patient presents with treatment resistant hypertensionelevated bp that is not controlled with a 3drug regimen, all at maximum dosesstart by asking. Jnc 8 raises the systolic threshold to 150 mmhg at age 60. Hypertension is a common medical disease, occurring in about one third of young. Hypertension guideline resources american heart association. Whats changed jnc uses randomized trial evidence, and is explicit when a recommendation reflects only expert opinion. The relationship between cognitive functioning and the jnc8 guidelines for hypertension in older adults felicia c. The hypertension guidelines jnc 8 linkedin slideshare.
793 1047 757 304 308 857 588 801 1183 1081 897 933 1477 140 20 312 436 723 278 1257 488 527 1498 461 258 266 1114 318 1247 1209 820 1323 1320 1433 436 939 228 933 641 864 1448 26