What are the steps for treatment of resistant hypertension?
The steps for treatment of resistant hypertension are: Step 1: Confirm elevated clinic blood pressure measurements using ambulatory or home blood pressure recordings. Step 2: Assess for postural hypotension. Step 3: Discuss adherence. Step 4: Consider adding a fourth antihypertensive drug or seeking specialist advice. Step 5: Consider further diuretic therapy with low-dose spironolactone. Step 6: Monitor blood sodium and potassium and renal function. Step 7: Consider an alpha-blocker or beta-blocker. Step 8: If blood pressure remains uncontrolled, seek specialist advice.