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ADULT HYPERTENSION PROTOCOL STANFORD …

STANFORD HOSPITAL AND CLINICS ADULT HYPERTENSION PROTOCOL STANFORD COORDINATED CARE _____ ADULT HYPERTENSION PROTOCOL STANFORD Coordinated Care Page 1 I. PURPOSE To establish guidelines for the monitoring of antihypertensive therapy in ADULT patients and to define the roles and responsibilities of the collaborating clinical pharmacist and pharmacy resident. SUPPORTIVE INFORMATION Goal of Therapy The ultimate goal of antihypertensive therapy is the reduction of cardiovascular and renal morbidity and mortality. Since most persons with HYPERTENSION , especially those age >50 years, will reach the DBP goal once SBP is at goal, the primary focus should be on achieving the SBP goal. Treating SBP and DBP to targets that are <140/90 mmHg is associated with a decrease in CVD complications.

Adopt a DASH (Dietary Approaches to Stop Hypertension) eating plan Consume diet rich in fruits, vegetables and low dairy products with a reduced content of saturated and total fat 8-14 mmHg Dietary sodium restriction Reduce dietary sodium intake to not more than 2.4 g of Na 2-8 mmHg Physical Activity Engage in regular aerobic physical

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