『Podcast - NICE Hypertension Guideline Part 2: Investigations & Emergencies』のカバーアート

Podcast - NICE Hypertension Guideline Part 2: Investigations & Emergencies

Podcast - NICE Hypertension Guideline Part 2: Investigations & Emergencies

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概要

 The video version of this podcast can be found here: · https://youtu.be/Ybf2fuw880YThis episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I review a section of the NICE guideline on Hypertension in adults, always focusing on what is relevant in Primary Care only.I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The NICE clinical guideline on Hypertension in adults: diagnosis and management [NG136] can be found here: · https://www.nice.org.uk/guidance/NG136 TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I’m Fernando, a GP in the UK. Today we are reviewing the NICE guideline on hypertension in adults, always focusing on what is relevant in Primary Care only. In the last episode we covered the diagnosis and initial assessment and then, we said that we would cover the investigations for target organ damage and the criteria for urgent referral in this episode.So let’s go through that now.Right, let’s jump into it.For all people with hypertension, we should offer the following investigations for target organ damage.We should test for protein in the urine by sending a urine sample for albumin to creatinine ratio, and test for haematuria using a reagent strip.We should take a blood sample to measure glycated haemoglobin, electrolytes, creatinine, eGFR, total cholesterol, and HDL cholesterol.We should examine the fundi for hypertensive retinopathy.And we should arrange a 12-lead ECG.Examples of target organ damage include left ventricular hypertrophy, chronic kidney disease, hypertensive retinopathy, or an increased urine albumin to creatinine ratio.Now let’s move on to identifying who to refer for same day specialist review.We should consider this when a person has severe hypertension, defined as a clinic blood pressure of 180 over 120 or higher. However, referral depends on more than just the blood pressure reading.So, we should refer people for same day specialist assessment if they have a clinic blood pressure of 180 over 120 or higher together with specific high-risk features.These include signs of retinal haemorrhage or papilloedema, which indicate accelerated hypertension. Accelerated hypertension refers to a severe increase in blood pressure to 180 over ...
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