In line with ntoas mission, the association first offered the ntoa swat standard in 2008. Pdf staying up to date with the jnc 8 hypertension guideline evidence based recommendations on the diagnosis and management of hypertension high blood pressure in adults. Drug resistant hypertension not mentioned in jnc defined as not controlled on 3 drugs ash ish. Alternative treatments new htn guidelines jnc 8 pages 2 3 for depression pages 4 5 conclusion. 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. Jaap 47 britain 2011, canada 20, europe 20, and the. English language development standards means as defined in n. This places increased pressure on the heart to pump blood throughout the body. Jnc 8 guidelines and stepwise approach to the treatment of. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pres sure goal 14090 mmhg, ada standards of care advise treat ing to a goal of 14080 mmhg. Category guidelines link guideline clinical guidelines. Lifestyle interventions include use of the dietary approaches to stop hypertension dash eating plan, weight loss, reduction in sodium intake to less than 2. Clinical practice guidelines for the management of hypertension in the community.
Sep 08, 2015 healthcare providers diverse role in advocacy, kiana johnson phd, msed, mph duration. Evaluation, formerly called monitoring, means the process by which the commissioner or his or her designee evaluates the status of each school district or charter school. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. New ersey ivision of hild protection and permanency legal. As in jnc 7, the jnc 8 guidelines also recommend lifestyle changes as an important component of therapy. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. In adults with hypertension, does initiating medication therapy at specific bp. We attempt to match national guidelines whenever possible, but we do have some key differences from jnc 8 in particular, that we. Controversy, the jnc8 hypertension guidelines christopher j.
Forouzanfar and coauthors jama original investigation, january 10, 2017. Healthcare providers diverse role in advocacy, kiana johnson phd, msed, mph duration. The seventh report of the joint national committee on. Sox points out that the jnc 8 guidance adheres much more closely to quality standards published by the institutes of medicine iom in 2011 clinical practice guidelines we can trust than it does. High blood pressure, if left untreated, can cause severe damage to the bodys organs, including the brain, heart, blood. Ppt jnc 8 powerpoint presentation free to download. Joint national committee 8 jnc 8 guidelines for management of hypertension. The ntoa tactical response and operations standard for law enforcement agencies could not have been developed without the combined effort of numerous dedicated swat operators and tactical commanders that are members of the ntoa organization. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The first set of recommendations address the questions of what threshold to. Department of health and human services national institutes of health national heart, lung, and blood institute.
Typed name and title of immediate supervisor typed name and title of official taking action. Chronic kidney disease hypertension randomized controlled trial medicine. In the united states alone, more than 65 million individuals have hypertension. Guideline comparisons of goal bp and initial drug therapy for adults with hypertension. Jnc8 hypertension guidelines 2014 right care initiative. Written by canadian community health nurses and experts from all practice areas, this revised document defines the practice of a registered nurse in the specialty area of community health nursing and provides a guide for chns and. 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. Understand that while htn control rates have improved in the past 30 years, these rates remain.
In the general population, pharmacologic treatment should be initiated when blood pressure is 15090 mm hg or higher in adults 60 years and older, or 14090 mm. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Winner of the standing ovation award for best powerpoint templates from presentations magazine. In the jnc 7 report, a less than systematic approach to a. Appendix to 2014 evidencebased guideline for the management of high blood pressure in adults report by the panel appointed to the eighth joint national committee jnc 8 1. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Hypertension, also known as high blood pressure, affects hundreds of millions of persons worldwide. Position description please read instructions on the back. Despite 5 years in preparation, nih did not release a jnc 8 report and recently made the decision to withdraw from issuing guidelines.
If you have any questions about issues, please report us to resolve them. Start studying jnc 8 guidelines and stepwise approach to the treatment of htn. Oct 01, 2014 the eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. As approved with amendments proposal level october 3, 2018. Panel members were appointed and developed focused critical questions relevant to practice.
The american diabetes association ada has slightly different recommendations than jnc 8. John warner, md, president of the american heart association, interviews paul whelton, md, writing group chair for the 2017 hypertension clinical practice guidelines and the need for the guidelines, the new classification system, and what it means for clinicians and their patients. The chapter, which implements the new jersey student learning standards njsls, the statewide assessment system, and state high school graduation requirements, is being revised to reflect. Report from the panel members appointed to the eighth joint national committee jnc 8. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm hg, 19902015 mohammad h. The evolution of the jnc recommendations reflects the acquisition of observational and clinical trial data and the availability of newer antihypertensive drugs. Rates of hypertension in younger adults 18 to 59 years are similar under jnc 7 and jnc 8 criteria 20. Jnc 8 update on hypertension guidelines alan cementina, md. Grade 8 reading released test item set spring 2015 answer key grade 8 reading page 1. Explore jnc 8 hypertension guidelines from jama network. Multiple choice mc or technologyenhanced item tei correct answer. Grade 8 reading virginia standards of learning test item set released spring 2015. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. New hypertension guidelines jnc 8 inside this issue.
Joint national committee 8 jnc 8 guidelines for management. In 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. A paper was published in the journal of the american medical association in 2014 that is generally referred to as jnc 8 but officially, there are no jnc 8 guidelines sanctioned by the nhlbi, nor has jnc 8 been endorsed by the aha, acc, or many other organizations that endorsed jnc7. Jnc 8 guidelines for the management of hypertension in adults. National high blood pressure education program prevention, detection, evaluation, and treatment of high blood pressure the seventh report of the joint national committee on jnc 7 express u. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Elevation myocardial infarction updating the 2007 guideline and replacing the 2011. Reference card from the seventh report of the joint. Report from the panel members appointed to the eighth joint national committee jnc 8 appendix to 2014 evidencebased guideline for the management of high.
Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Joint national committee 8 jnc 8 guidelines current. Hypertension guidelines explained clearly 2017 htn. Continuing education of sodium intake lead to increased volume in the bloodstream. The jnc 8 panel chose three critical questions on which to focus its update box 1 and revised the process such that recommendations were graded on the basis of the available evidence, as is the contemporary guideline standard. The document established a basic set of standards for the organizations member agencies and serves as an efficient, core set of concepts and principles that improve standardization within the profession of tactical law enforcement services. Recognize that htn is the leading contributor to global mortality and disability and is increasing in prevalence in the u.
Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Jun 01, 2015 in 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. The relationship between cognitive functioning and the jnc8 guidelines for hypertension in older adults. Jnc 8 new guideline hypertension chart pharmacy exam. The systolic hypertension in europe systeur trial investigators. The 20 joint european society of hypertension esh and the european society of cardiology esc guidelines recommend that ambulatory bloodpressure monitoring abpm be incorporated into the assessment of cardiovascular risk factors and hypertension.
Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. 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. Goldstein fc, hajjar im, dunn cb, levey ai, wharton w. Evidencebased guideline for management of high blood pressure in adults report from the panel members appointed to the eighth joint national committee jnc 8 slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Distributed by the clinicians group of the capitol region right care initiative jnc 8 hypertension medication algorithm 2014. Hypertension strengths and limitations of the jnc 8. The department of education department proposes to amend n. The jnc 8 authors recommended against initiating antihypertensive therapy in patients over the age of 60 unless their blood pressure was over 15090 mm hg, which represents a loosening of the earlier recommendations to start drug treatment at the lower systolic level of 140 mm hg. The data were so compelling that some members of the jnc 8 panel wanted to keep dbp jnc 8 panel guideline. 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. In the general population, pharmacologic treatment should be initiated when blood pressure is 15090 mm hg or higher in adults 60 years and older, or 14090 mm hg or higher in adults younger than 60 years.
The leading 2014 pharm notes volume 12, issue 2 volume 17, issue 5. This was a departure from the prior processes used to form the recommendations. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. High blood pressure, if left untreated, can cause severe damage to the bodys organs. Pdf version joint national committee 8 jnc 8 guidelines for management of hypertension source. New htn guidelines jnc 8 pages 6 7 adult immunizations page 8 nmg contact information septemberoctober neil medical group. Hypertension the new guidelines the greatest danger to a man with high blood pressure lies in its discovery, because some fool is. 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. Whats good, whats missing, and why are most of the recommendations based on expert opinion. Office of personnel management or, if no published standards apply direct ly, consistently with the most applicable published standards. Pdf staying up to date with the jnc 8 hypertension guideline.
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