Post Session Questions

8.

Specific hypertension medications for women of childbearing age who may become pregnant

Review after one month, if the treatment target is not met, increase amlodipine to 10 mg once daily

Do not prescribe ACE Inhibitors, ARBs (Losartan), or thiazide/ thiazide-like diuretics to women who may become pregnant

Review after one month, if the treatment target is not met, Refer the patient to a higher center

Start amlodipine 2.5 – 5 mg once daily

9.

Remark treatment target

For patients with diabetes, ischaemic heart disease, stroke, and chronic kidney disease, a lower target of SBP ≤130 mmHg and DBP ≤80 mmHg is recommended.

For most patients, blood pressure is considered controlled when SBP <140 mmHg and DBP <90 mmHg.

For all patients’ BP is considered controlled when SBP <110 mmHg and DBP <70 mmHg.

10.

‘Patient treatment cards’ can be replaced by ‘Electronic Health Records.

Disagree

Agree

Don’t know

11.

Does Simple app keep records of the followings

Biliirubin

Blood sugar

Blood glucose

Blood pressure

12.

What information is there on the dashboard?

Missed visit rate

About healthcare workers

Medicine record

Control rate

13.

Which of the following is stage 2 hypertension?

BP reading of 140/90 mmHg or higher

BP reading of 130/70 mmHg or higher

BP reading of 130/80 mmHg or higher

BP reading of 130/60 mmHg or higher

14.

Diagnose hypertension.

Patients with SBP ≥ 160 mmHg and/ or DBP ≥ 100 mmHg, may be diagnosed with hypertension in the same single visit

Diagnosis of hypertension should be confirmed at 2nd visit, usually 2 weeks after the first measurement if the systolic blood pressure and/or diastolic blood pressure is ≥140 mmHg and/or ≥90 mmHg on both visits.

15.

If antihypertensive medication is being prescribed, the following are critical to ensuring adherence:

The patient should understand the diagnosis and the need to take life-long treatment

Explain the damage to target organs if medications are not taken regularly.

Explain how many times a day the patient should take the medication

Check the patient’s understanding before the patient leaves the health center.

16.

When will diagnosis be made on a single visit?

If BP is ≥160/100 mmHg or higher

If BP is ≥140/90 mmHg or higher

If BP is ≥150/90 mmHg or higher

If BP is ≥150/80 mmHg or higher

17.

How to measure blood pressure?

The patient should sit with the back supported, legs uncrossed, empty bladder, relaxed for 5 minutes, and not talking.

At the initial evaluation, blood pressure should be measured in the right arm; if the BP readings are below 140 mmHg / 90 mmHg, the patient is considered normotensive and will be advised to come after one year for a check-up.

Use the appropriate cuff size, noting the lines on the cuff to ensure that it is positioned correctly on the arm. (If the arm circumference is > 32 cm, use a large cuff)

18.

How to monitor hypertension control across facilities and regions?

By monthly report

Dashboard

Monitoring the NCD activities

By daily report

19.

Which of the following features does the Simple app have?

Easy patient finding

Overdue list

Risk analysis

Telemedicine

Reminder facility

20.

Mention the medications used for treating hypertension (according to protocol).

Amlodipine, Metformin, Rosuvastatin

Amlodipine, Glicazide, Losartan potassium

Amlodipine, Losartan potassium, Hydrochlorothiazide

Losartan potassium, Rosuvastatin, Hydrochlorothiazide

21.

How many times do you need to record patient information in Simple App?

About 13 seconds

About 30 minutes

About 30 seconds

About 13 minutes