Drag and drop to the prescription sheet.
- Calcium channel blocker – no. A CCB would be step 1 of treatment if Mark was over 55.
- Beta blocker – no. This does not follow the BHS guidelines for treatment at this stage of Mark’s management.
- Diuretic – no. It would not be a first choice of treatment. It would be an option for step 3 of the CHS guidelines.
- Angiotensin II receptor blocker – no or yes. This would not be first line treatment, unless an ACE inhibitor has not been tolerated. As this is Mark’s first prescription, this information is not available.
- Ace inhibitor – yes. This is the correct 1st line treatment for someone under the age of 55..
- Statin – yes. This is the recommended 1st line drug of choice in SIGN 97.
Prescription sheet (correct answers)
- ACE inhibitor
- Simvastatin 40mg
Pulse point
It is important to address health beliefs and compliance around medication, as non-compliance can increase cardiac risks.
The following NICE guideline is a useful resource.
See the Additional Information for a summary of the NICE pathway for antihypertensive drug treatment.
Page last reviewed: 26 May 2020
