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hypertension & proteinuria
Etiology: hypertension
Laboratory:
- urine protein: proteinuria
- serum creatinine may be elevated
Management:
1) ACE inhibitors or angiotensin receptor antagonist
- lower intraglomerular pressure
- decrease proteinuria, especially in diabetics
2) Ca+2 channel blockers, diltiazem & verapamil preferable to dihydropyridines
3) target blood pressure
a) < 139/80 for chronic renal insufficiency
b) < 125/75 for proteinuria > 1 g/day
Related
hypertension (HTN, high blood pressure, HBP)
Specific
pre-eclampsia/eclampsia
General
hypertensive nephropathy; hypertensive nephrosclerosis; hypertensive kidney disease
proteinuria
References
- Prescriber's Letter 11(8): 2004
Antihypertensives in Patients with Hypertension and Proteinuria
Detail-Document#: 200813
(subscription needed) http://www.prescribersletter.com