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Abstract. . .  Provider No. ____________ Patient Name or Code _________________________________ Birth Date ____ / ____ / ______ Gender M ? F ? (mm / dd / yyyy) This flowsheet is intended for prospective data collection only. PD24:03-021:1.7M:2/03 2003 American Medical Association The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) 8 Blood Pressure Goals for Specific Patient Populations: c Adults (age 18 and older): Below 140/90 mm Hg Older persons (age 60 and older): Below 140/90 mm Hg (interim goal of SBP below 160 mm Hg may be necessary) Patients with diabetes: Below 130/85 mm Hg Patients with renal insufficiency with > 1 gm per day of proteinuria: = 125/75 mm Hg Patients with renal insufficiency with = 1 gm per day of proteinuria: = 130/85 mm Hg Patients with coronary artery disease: Below 140/90 mm Hg (lower is desirable if angina persists) Recommendation on follow-up visits: Most patients, following initiation of therapy: 1 to 2 months (frequency to be determined by physician for patients with associated medical problems [eg, target organ damage, other major risk factors, laboratory test abnormalities]) After blood pressure is stabilized: 3- to 6-month intervals (depending on patient status) Goals and Follow-up Intervals a Test measure. Document plan of care for hypertension if systolic blood pressure = 140 mm Hg or diastolic blood pressure = 90 mm Hg b May include weight reduction, decreased sodium and alcohol intake, and exercise c Publication of JNC VII, with updated blood pressure goals, is forthcoming in 2003 Clinical Assessment and Management Blood Pressure Weight (lb/kg) ?Unable to weigh ?Unable to weigh ?Unable to weigh ?Unable to weigh Medication Management Medications Allergies ______________________________ ______________________________  . . .
--3000,1,1500,2211,17090

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03-0021 Hypertension

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