BP screening schedule | Lifestyle counseling (weight and nutrition) | Check upper and lower extremity BP | ABPM* | Diagnostic evaluation¶ | Initiate treatment | Consider subspecialty referral |
Normal BP | ||||||
Annual | X | – | – | – | – | – |
Elevated BP | ||||||
Initial measurement | X | – | – | – | – | – |
Second measurement (repeat in 6 months) | X | X | – | – | – | – |
Third measurement (repeat in 6 months) | X | – | X | X | – | X |
Stage 1 HTN | ||||||
Initial measurement | X | – | – | – | – | – |
Second measurement (repeat in 1 to 2 weeks) | X | X | – | – | – | – |
Third measurement (repeat in 3 months) | X | – | X | X | X | X |
Stage 2 HTNΔ | ||||||
Initial measurement | X | X | – | – | – | – |
Second measurement (repeat, refer to specialty care within 1 week) | X | – | X | X | X | X |
BP: blood pressure; ABPM: ambulatory blood pressure monitoring; HTN: hypertension.
* ABPM is done to confirm HTN before initiating a diagnostic evaluation.
¶ Treatment may be initiated by a primary care provider or subspecialist.
Δ If the patient is symptomatic or BP is >30 mmHg above the 95th percentile (or >180/120 mmHg in an adolescent), send to an emergency department.Do you want to add Medilib to your home screen?