Secondary Hypertension Herbal Products - Medical Algorithm

Are you evaluating a patient with hypertension?

Yes

Is the person taking?

• arnica?

Yes

• bitter orange?

Yes

• blue cohosh?

Yes

• dong quai?

Yes

• ephedra?

Yes

• ginkgo?

Yes

• ginseng?

Yes

• guarana?

Yes

• licorice?

Yes

• pennyroyal oil?

Yes

• Scotch broom?

Yes

• Senna?

Yes

• southern bayberry?

Yes

• St. John's wort?

Yes

• yohimbine?

Yes

• other herbal products with unlisted ingredients?

Yes

Is the patient taking a herbal product in large amounts?

Yes

Did the hypertension appear or get worse after the patient started taking herbal supplements?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of herbal products being taken that have been associated with hypertension

Number of additional reasons to suspect a link between the herbal product and the hypertension

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Systolic Hypertension
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer
- Indications to Refer Patient with Hypertension to Specialist

Therapy

Options
- Management of Hypertension in African Americans
Selection
- Risk Score of Pocock et al for Death from Cardiovascular Disease in Adults with Raised Blood Pressure
- Indications to Refer Patient with Hypertension to Specialist
Pharmacogenetics
Dosage Calculations
- Aldosterone Breakthrough in Patient Receiving ACE Inhibitor or ARB Therapy for Hypertension
Dosage Adjustments
- Rebound Hypertension on Discontinuation of Beta-Blockers or Other Medications
Diet
- Management of Hypertension in African Americans
Physical And Lifestyle
- Hypertension Lifestyle Modifications
- Blood Pressure Control in Patient with Diabetes Mellitus
Failure Handling And Therapy Escalation
- Causes and Risk Factors for Resistant Hypertension
Prevention

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Causes of Secondary Hypertension
Comorbid Conditions

Patient Concerns

Quality Of Life
- Blood Pressure Control in Patient with Diabetes Mellitus
Psychological Response
- White Coat Hypertension

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Herbal Supplements Associated with Hypertension

Purpose: To identify a patient whose hypertension may be caused or made worse by the taking of an herbal supplement.

Evaluation

Results

Please fill out required fields.

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10