Hypertension

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

  • Onset
  • Past and family history
  • Cardiac risk factor assessment
  • Co-morbidities especially cardiac, renal and endocrine disease
  • Current and past medications especially failed medications
  • Associated symptoms
  • Should include BP readings

Tests

  • U&Es, creatinine
  • Blood glucose
  • ECG
  • MSU
  • CXR
  • Refer for 24hr ambulatory BP monitor

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Regular checks and repeated assessment for complications such as visual and renal changes.

Direct link to Health Pathways Hypertension page

For more information please see the Tasmanian Health Pathways website.

Emergency

Malignant hypertension

Urgent / category 1

Severe hypertension (>200/120)

Semi-urgent / category 2

HT difficult to control
Medication intolerance
Changing pattern of HT
Decline in renal function on ACEIs
Renal artery stenosis

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks