REGIONE LAZIO Via A. Fabi s.n.c. 03100 FROSINONE Tel. 0775 8821 # $ # % & ' ( & ) * +$ ' '*( # -. ' & / ' * ) ( Struttura Semplice di Staff di Direzione Generale Protocolli Assistenziali e Linee Guida Via A.Fabi s.n.c. 03100 Frosinone Tel. 0775 882309
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1 4 ' *? 11 * $ 11 &=<> ' Approccio non farmacologico Se dopo 4-6 sett.pa ancora 130/80 ACE-I o AIIRA = >\+ = > Aggiungere un 2 farmaco di altra classe o sostituire (ideale: ACE-I + Ca-Antag.) Se dopo 3 sett. PA ancora 130/80 Se dopo 3 sett.pa ancora 130/80 Sostituire o aggiungere un 3 farmaco (spesso un DIURETICO specie in pazienti edematosi) Aggiungere un 4 farmaco (ideale: AIIRA + ACE-I) Se dopo 3 sett. PA ancora 130/80 Se dopo 3 sett. PA ancora 130/80 Sostituire un farmaco con un altro Polso 80 Polso < 80 Inserire -blocc. C. Selett. O --bloccante Inserire 1-Blocc. Se il primo farmaco risulta del tutto inefficace nell arco di 3 settimane o in presenza di effetti indesiderati è necessario sostituire il farmaco in atto con un altro tra quelli precedentemente menzionati. In caso non vengano raggiunti valori pressori inferiori a 130/80 nell arco dello stesso periodo orientativamente si dovrà associare al primo un secondo farmaco tra quelli sopra riportati. ' ' '
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