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Michigan Quality Improvement Consortium …

August 2017 Eligible PopulationKey ComponentsInitial assessmentPatient education and nonpharmacologic interventionsGoals of TherapyPharmacologic interventionsMonitoring and adjustment of therapy [D] Michigan Quality Improvement Consortium GuidelineMedical Management of Adults with HypertensionThe following guideline recommends diagnostic evaluation, education and pharmacologic treatment that support effective patient and Level of EvidenceHypertension, Stage 1: initiate therapy and recheck within two months until goal is , Stage 2: initiate therapy and recheck weekly or more often if indicated. Symptomatic Stage 2 may require hospital monitoring and at each visit. If elevated, measure BP seated 5-10 minutes, feet flat, arm at rest, appropriate size cuff. Check serum potassium and creatinine at least annually for patients on diuretics/ACE- patients > 18 years of based on 2 or more seated BP readings on each of 2 or more office :Stage 1140-159/90-99 mm HgStage 2>160/>100 mm HgApproved by MQIC Medical Directors August 2009, 2011, 2013, 2015, 2017 This guideline represents core management steps.

August 2017 Eligible Population Key Components Initial assessment Patient education and nonpharmacologic interventions Goals of Therapy Pharmacologic

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