JNC8 Guidelines for Hypertension Define the classes of hypertension (normal, elevated, stage 1 & stage 2) according to each guideline. o The JNC-8 guidelines does not provide definition on the ... classes of hypertension. However, just for reference, the JNC-7 guidelines did provide classification on hypertension (James et al., 2014): Normal: < 120 mmHg systolic, and < 80mmHg diastolic Prehypertension: 120-139 mmHg systolic and 80-89 mmHg diastolic Stage 1: 140-159 mmHg systolic and 90-99 mmHg diastolic Stage 2: >160 mmHg systolic and > 100 mmHg What are the thresholds for initiating treatment? o Per the JNC-8 guidelines (2014), the first recommendation is that treatment should be initiated on those adults over the age of 60 and who have a systolic blood pressure greater than 150 mmHg and diastolic blood pressure greater than 90 mmHg. The second recommendation is for the population under the age of 60, if their diastolic blood pressure has reached 90 mmHg or higher, then pharmacological treatment is recommended. Furthermore, the third recommendation is also for people under the age of 60, and whose diastolic blood pressure has reached over 140 mmHg, pharmacological treatment should be initiated as well (James et al., 2014) [Show More]
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