Joint National Commission

1) What is the JNC8 goal for the general population for patients aged >60, and what is the initial antihypertensive treatment for Nonblack population?

2) What is the JNC8 goal for the general population for patients aged <60, and what is the initial antihypertensive treatment for Black population, with Hc of diabetes?

3) What is the JNC8 BP goal for the population aged >18 with CKD, and in the population aged >18 with CKD, what inital or add on antihypertensive treatment shoudl be included?

Full Answer Section

     

Here are some possible initial antihypertensive treatments for the populations you mentioned:

  • Patients aged >60 with no comorbidities: Thiazide-type diuretic, calcium channel blocker, ACE inhibitor, or angiotensin receptor blocker (ARB).
  • Patients aged <60 with diabetes: Thiazide-type diuretic, ACE inhibitor, or ARB.
  • Patients aged >18 with CKD: ACE inhibitor or ARB.

It is important to note that these are just general recommendations, and the optimal treatment for each patient will depend on their individual circumstances.

Sample Answer

       

The JNC8 guidelines for blood pressure management in adults recommend initiating treatment for patients aged 60 years or older at a systolic blood pressure (SBP) of 150 mmHg or higher or a diastolic blood pressure (DBP) of 90 mmHg or higher. The goal blood pressure for this age group is <150/90 mmHg.

For patients aged 60 years or older with diabetes or chronic kidney disease, the JNC8 guidelines recommend initiating treatment at a SBP of 140 mmHg or higher or a DBP of 90 mmHg or higher. The goal blood pressure for this group is <140/90 mmHg.

The JNC8 guidelines do not recommend specific initial antihypertensive treatments for different age groups or races. However, they do recommend that treatment should be individualized based on the patient's comorbidities and risk factors.