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Withholding Anti-Hypertensives Essay

Anti-Hypertensive Drugs: The concern on whether anti-hypertensive's should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.

The concern regarding the use of anti-hypertensive medication as a treatment procedure for hypertension has mainly been centered on the optimal choice of these agents. The other factors include the side effects of these drugs on a hypertensive patient, especially coughing. While three categories of these drugs are linked with...

The main objective for the use of anti-hypertensives in dialysis patients is to obtain and sustain an optimal blood pressure or lessen it by the least intrusive measures possible. While this is not usually easily achievable, anti-hypertensive medications or therapy should not be withheld in patients who are hypertensive because of various reasons.
First, the therapy should not be withheld because of the availability of a variety of effective anti-hypertensive agents or drugs (Henrich, 2012, p.300). In order to address the concerns regarding the optimal choice of these drugs and side effects, anti-hypertensive agents should be selected in consideration of any co-existing diseases, patient's demographic attributes, lifestyle, risk profile, and financial conditions. The availability of an extensive number of effective anti-hypertensive agents imply that they should not be withheld but certain considerations should be made to promote their effectiveness in a patient's…

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References:

Axon, R.N., Nietert, P.J. & Egan, B.M. (2011, April 1). Antihypertensive Medication Prescribing

Patterns in a University Teaching Hospital. Journal of Clinical Hypertension, 12(4), 246-252. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2997726/

Henrich, W.L. (2012). Principles and practice of dialysis. Philadelphia, PA: Lippincott Williams & Wilkins.

Kaplan, N.M., Bakris, G.L. & Forman, J.P. (2013, April 5). Antihypertensive Drugs and Lipids.
Retrieved March 15, 2014, from http://www.uptodate.com/contents/antihypertensive-drugs-and-lipids
Shibao, C., Lipsitz, L.A. & Biaggioni, I. (2013, March). ASH Position Paper: Evaluation and Treatment of Orthostatic Hypotension. The Journal of Clinical Hypertension, 15(3), 147-153. Retrieved from http://onlinelibrary.wiley.com/store/10.1111/jch.12062/asset/jch12062.pdf?v=1&t=hst1v0av&s=2c80d67396da71c773fa03ecad6a40dddc750539
March 15, 2014, from http://www.medscape.com/viewarticle/739521
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Hypotension & Antihypertensives Antihypertensives should not be withheld just for hypotensive purpose. Patients with other high risk conditions, such heart failure, IHD, chronic kidney disease, recurrent stroke, etc., should be given antihypertensives inspite of hypotension. Patients with hypertension target organ damage, or at risk of, should continue antihypertensives, even with hypotensive events. Pregnant women with chronic hypertension who are at risk of preeclampsia should also continue with antihypertensives, even with hypotension

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