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This Concept Map, created with IHMC CmapTools, has information related to: 1-Hypertension, is patient adherent? identify and reverse contributing lifestyle factors high salt, low fiber diet, physical inactivity discontinue or minimize interfering substances Medication Therapy, office BP at goal but patient requiring 4 or more anti hypertensive medications Then exclude pseudoresistence obtain home, work or ambulatory BP readings to exclude white coat effect, systolic: >/=140 mm Hg diastolic: ៊ mm Hg Diagnosis Isolated Hypertension, physical inactivity discontinue or minimize interfering substances licorice, ACE-I or ARB Sequential Therapy Calcium Channel Blocker or Beta Blocker, Vascular smooth muscle Vasoconstriction increase arteriolar resistance, Physiological Response to decreased blood pressure Beta Activation at JG cells in the kidney Increased Release of enzyme Renin, systolic: mm Hg diastolic: mm Hg Diagnosis Stage 2 Hypertension, Patient 44 yo Hispanic Male Medical Conditions Hypertension, Treatment Lifestyle Changes Manage Weight, encourage adherence continue current medications, physical inactivity discontinue or minimize interfering substances stimulants, Stage 1 Hypertension Hypertension Causes, high salt, low fiber diet discontinue or minimize interfering substances Sympathomimetics, Thiazide diuretic GFR ណ thiazides are ineffective, high salt, low fiber diet discontinue or minimize interfering substances NSAIDs, Treatment Medication Therapy ACE Inhibitors, Treatment Medication Therapy ARB's, RX for potassium supplement Instruction Start potassium regimen as directed