Dental management of the hypertensive patient Clinical Update Naval Postgraduate Dental School National Naval Dental Center Bethesda, Maryland Vol. Conversely, in secondary hypertension, there is an identifiable cause that can be corrected, such as renal artery stenosis or pheochromocytoma. See Table 1 for classification of BP in adults. If the BP is elevated, waiting at least 2 minutes before retaking is suggested. Signs and symptoms of HTN may include dizziness, headache, tinnitis and tingling of the hands and feet, and bloody nose.
Most hypertensive patients are usually asymptomatic.
For those with heart failure, renal insufficiency or diabetes. Lifestyle modification should include exercise, balanced diet, weight reduction, moderation of alcohol consumption, and abstinence from tobacco. Antihypertensive drug therapy is initiated based on Table 2 above. They reduce BP by inhibiting sodium and chloride reuptake in the kidney, which causes increased excretion of water and decreased intravascular fluid volume. At every annual examination 2.