Pharmacology Module 3 COMPLETE +
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Problem set on the last pages 2025 verified
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x solution Portage Learning xx x
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• Complete NURS 251 Pharmacology Module 3 review
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• Complete problem set from the last pages
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• Comprehensive module review
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• Updated 2026 study material
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• Instant digital download
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, NURS 251 Pharmacology Module 3 complete with x x x x x x x
problem set (last pages) Portage Learningx x x x x x
Module 3 x
3.1 : Introduction to Cardiology
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Taking a Blood Pressure x x x
Blood pressure is the pressure exerted against the walls of blood vessels as blood circulates through the body. Blood
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pressure is measured using an instrument called a sphygmomanometer, perhaps more commonly known as the blood
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pressure cuff. The pressures associated are measured in units of millimeters of mercury (mm/Hg). The health care
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provider inflates a blood pressure cuff in order to cut off the blood flow from the brachial artery. As they release the
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pressure in the cuff, they are listening with a stethoscope, for the first sound, called the Korotkoff sound, meaning there is
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no longer enough pressure to keep all the blood from flowing. The Korotkoff sound corresponds to a numerical gauge on
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the sphygmomanometer and is called the systolic value (top number) of the patient’s blood pressure. The provider
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continues to let air out of the cuff and eventually the sounds disappear, representing that the brachial artery is now
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completely open. When this occurs, the numerical value on the sphygmomanometer is known as the diastolic value
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(bottom number) in a patient’s blood pressure.
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Hypertension is defined as the persistent systolic blood pressure of greater than 150mm/Hg and/or a diastolic blood
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pressure greater than 90mm/Hg in patients 60 years of age and older. For patients younger than 60 or those with kidney
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disease or diabetes, it is defined as a systolic reading greater than 140mm/Hg and diastolic greater than 90mmHg.
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Hypertension is often an asymptomatic disease and is also considered the most common disease state worldwide. Table
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3.1 below breaks down different classifications of hypertension.
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Table 3.1 Classification of Hypertension
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Classification Blood Pressure (mm/Hg) x x
Normotensive <120/80
Prehypertensive 120-139/80-89
Hypertensive >140/90
Stage 1 x 140-159/90-99
Stage 2 x >160/100
Essential hypertension, also known as primary hypertension, is when the cause of the increased blood pressure is
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unknown.
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Secondary hypertension is when a patient’s elevated blood pressure is caused by another disease.
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Orthostatic hypotension, which is when a patient experiences a sudden drop in blood pressure when they change
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positions (i.e. when going from a seated position to standing).
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Physiologic Factors that Determine Blood Pressure x x x x x
Blood Pressure is determined by cardiac output, the amount of blood ejected from the heart’s left ventricle multiplied by
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the Systemic Vascular Resistance (SVR), the resistance to blood flow.
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Cardiac output is determined by two factors: heart rate (beats per minute) and stroke volume (volume of blood pumped
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per minute).
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SVR is determined by the diameter of the blood vessel as well as the musculature nature of the blood vessel.
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, An increase in any of the above factors: heart rate, stroke volume or SVR will result in a rise in blood pressure.
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There are also several factors commonly associated with high blood pressure even though they alone do not cause high
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blood pressure. Associated factors of blood pressure include: sodium intake, maintaining a healthy weight, avoiding
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