What is the recommended action for a patient with a reading of 160-179/100-109?

The appropriate action for a patient with a blood pressure reading of 160-179/100-109 aligns with the guideline that indicates hypertension, particularly stage 2 hypertension. In such cases, the patient is considered at an elevated risk for cardiovascular events and related complications, which necessitates a proactive approach to health management.

Starting treatment immediately is crucial for controlling the patient's blood pressure, minimizing the risk of potential health issues, and ensuring safety for driving or operating commercial vehicles. Immediate treatment can include lifestyle changes and possibly medication, aiming to bring the blood pressure within normal limits before further certifications can be considered.

Monitoring for 6 months and certifying for 3 years would not adequately address the immediate health risk posed by such elevated blood pressure levels. Disqualification is typically reserved for more severe cases or where treatment is ineffective, and in this scenario, starting treatment signifies a step towards managing the condition rather than outright disqualification.