Bahan penyuluhan hipertensi bua masyarakat

Bahan penyuluhan Hipertensi

1. HIPERTENSI

2. BAGAIMANA MENDIAGNOSIS HIPERTENSI? KENAPA HIPERTENSI HARUS DIOBATI? BAGAIMANA MENGOBATI HIPERTENSI?

3. PERMASALAHAN di PRAKTEK SEHARI2 Tekanan darah normal Tidak ada keluhan Makan daging Takut drop Takut ginjal rusak

4. RISIKO YANG DIHADAPI Dengan tekanan darah yang tidak terkontrol kemungkinan mendapat : penyakit jantung koroner 3 kali lipat gagal jantung 6 kali lipat stroke 7 kali lipat

5. BAGAIMANA MENGOBATI HIPERTENSI? Perubahan gaya hidup Obat-obatan

6. PERUBAHAN GAYA HIDUP Modifikasi Rekomendasi Penurunan TDS Berat badan BB normal 5 – 20 mmHg Kurangi garam < 6 gr 2 – 8 mmHg Diet DASH* Sayuran Buah – buahan Kurangi lemak 8 – 14 mmHg Aktifitas fisik Teratur Terukur 4 – 9 mmHg Batasi alkohol < 1 oz ethanol < 24 oz beer < 10 oz wine / whisky 2 – 4 mmHg *Dietary Approaches to Stop Hypertension sebuah penelitian thn 1999 Konsensus Penatalaksanaan Hipertensi, InaSH, 2014

7. TERAPI HIPERTENSI

8. Antihypertensive Initial Daily Dose, mg Target Dose in RCTs, mg No, of Doses per D ay ACE inhibitors Captopril 50 150-200 2 Enalapril 5 20 1-2 Lisinopril 10 40 1 Angiotensin receptor clockers Eprosartan 400 600-800 1-2 Candesartan 4 12-32 1 Losartan 50 100 1-2 Valsartan 40-80 160-320 1 Irbesartan 75 300 1 ß-Blockers Atenolol 25-50 100 1 Metoprolol 50 100-200 1-2 Calcium channel blockers A m lodipine 2-5 10 1 Diltiazem extended release 120-180 360 1 Nitrendipine 10 20 1-2 Thiazide-type diuretics Bendroflumethiazide 5 10 1 Chlorthalidone 12.5 12.5-25 1 Hydrochlorothiazide 12.5-25 25-100 1-2 Indapamide 1.25 1.25-2.5 1 Dosis Obat Antihipertensi Berdasarkan Evidence-Based

9. The contributors to this topic take different approaches to the timing of antihypertensive therapy: ●One author and both section editors typically prescribe once-daily medications in the morning rather than the evening. This approach is supported by the European Society of Hypertension (ESH) [112]. ●The other author prescribes once-daily drugs in the evening (between 6 and 8 PM [between 18:00 and 20:00]), except for diuretic medications (which are prescribed in the morning), unless the patient has glaucoma. Patients with glaucoma, particularly open-angle glaucoma, should not be prescribed antihypertensive medicines at night [113-117]. The best data come from the Treatment In the Morning or Evening (TIME) trial [118]. In this study, more than 21,000 adults with hypertension were randomly assigned to take their antihypertensive medications in the morning or the evening. At approximately five years, rates of cardiovascular events were similar between the groups. There were no important differences in safety or adverse events comparing morning with evening dosing.

10. DASAR TERAPI HIPERTENSI DENGAN OBAT 💊 Mulai dosis terendah, naikkan dosis bila efek kurang , tambah obat lain bila perlu. 💊 Sesuaikan dengan lama kerja obat , minum pada waktu yang sama setiap hari 💊 Minum obat kontinyu tidak boleh putus. Obat hipertensi bisa mengendalikan tekanan darah selama diminum terus secara teratur Tidak ada obat hipertensi yang diminum langsung sembuh 100%