NR 667 VISE Assignment – Nursing Assignment Study Guide & Resources

NR,/.667,/.VISE,/.Assignment


Etiology:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
No,/.known,/.cause,/.in,/.90%,/.of,/.cases,/.of,/.primary,/.HTN
-
Secondary,/.causes:,/.renal,/.failure,,/.kidney,/.disease,,/.renal,/.artery,/.stenosis,,/.
Cushing,/.syndrome,,/.hyper/hypo,/.thyroidism,,/.increased,/.ICP,,/.sleep,/.apnea
,,/.oral,/.contraceptives,,/.steroids,,/.cocaine,,/.NSAIDs,,/.decongestants,,/.sympa
thomimetics,,/.alcohol,,/.antidepressants,,/.caffeine


Risk,/.Factors:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Modifiable:,/.smoking,,/.DM,,/.high,/.cholesterol,,/.obesity,/.(single,/.most,/.impo
rtant,/.factor,/.in,/.children),,/.physical,/.inactivity,,/.poor,/.diet,,/.excessive,/.sodiu
m,/.intake,,/.excessive,/.alcohol,/.consumption
-Non-
modifiable:,/.CKD,,/.family,/.hx,,/.increased,/.age,/.(>55,/.men,,/.>,/.65,/.women),,/.l
ow,/.socioeconomic,/.status,,/.low,/.educational,/.status,,/.male,/.sex,,/.OSA,,/.stres
s,,/.pregnancy



Assessment:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Most,/.are,/.asymptomatic;,/.occipital,/.headache,,/.headache,/.upon,/.waking,,/.bl
urry,/.vision,,/.fundoscopic,/.exam,/.(AV,/.nicking,,/.exudates,,/.papilledema),,/.le
ft,/.vent.,/.hypertrophy,,/.pregnancy,/.w/HTN,/.and,/.proteinuria,,/.edema,,/.and,/.e
xcessive,/.weight,/.gain

,Differential,/.Diagnosis:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Secondary,/.HTN,,/.white,/.coat,/.HTN,/.(artificial,/.elevation,/.d/t,/.medical,/.envir
onment,/.anxiety)


Final,/.Diagnosis:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Urinalysis,/.=,/.proteinuria
-Electrolytes,,/.creatinine,,/.calcium
-Fasting,/.lipid,/.profile,/.and,/.BS
-ECG
-Measure,/.BP,/.twice,,/.5,/.mins,/.apart
-Patient,/.should,/.be,/.seated;,/.use,/.proper,/.cuff,/.size,/.and,/.application


Prevention:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Maintaining,/.healthy,/.weight,/.and,/.BMI
-Smoking,/.cessation
-Regular,/.aerobic,/.exercise
-Alcohol,/.in,/.moderation,/.(<,/.1,/.oz/day)
-Stress,/.management
-Medication,/.compliance
-Assess,/.for,/.and,/.treat,/.OSA

,Non-pharm,/.management:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Stage,/.1:,/.Risk,/.score,/.<,/.10%,/.=lifestyle,/.modification
-Stage,/.2:,/.lifestyle,/.+,/.medication
-
DASH,/.eating,/.plan:,/.high,/.fruit,,/.veggies,,/.grains;,/.low,/.fat,/.dairy,,/.fish,,/.poul
try,,/.beans,,/.nuts
-Reduce,/.dietary,/.sodium,/.to,/.2,300mg/day,,/.increase,/.K+
-Reduce,/.sat.,/.fat,/.intake
-
Body,/.weight,/.reduction;,/.1kg,/.of,/.weight,/.reduction,/.=,/.1,/.mm/hg,/.bp,/.reducti
on
-
150,/.mins,/.of,/.aerobic,/.exercise,/.and/or,/.3,/.sessions,/.of,/.isometric,/.resistance,/.
per,/.week
-Treat,/.other,/.underlying,/.diseases
-Check,/.bp,/.2x/week,/.during,/.pregnancy


Pharmacological,/.management:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔
-
Start,/.medication,/.for,/.primary,/.prevention,/.of,/.CVD,/.if,/.pt.,/.has,/.ASCVD,/.ris
k,/.≥,/.10%,/.and,/.stage,/.1,/.HTN,/.or,/.if,/.ASCVD,/.is,/.<,/.10%,/.with,/.bp,/.>140/90
-Stage,/.2:,/.start,/.2,/.bp-lowering,/.medications

, -
African,/.Americans:,/.2+,/.medications,/.recommended;,/.thiazide,/.and,/.CCBs,/.
are,/.the,/.most,/.effective
*DO,/.NOT,/.use,/.ACE,/.and,/.ARB,/.concurrently
-Beta,/.blockers,/.are,/.NOT,/.first,/.line
-Thiazides,,/.CCBs,,/.ACEIs,,/.and,/.ARBs,/.can,/.be,/.used,/.alone,/.or,/.in,/.combo


Pregnancy,/.considerations:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Can,/.use,/.beta,/.blockers,/.(labetalol),,/.methyldopa,,/.CCBs,/.(nifedipine)
-AVOID,/.ARBs,/.and,/.ACEIs



Follow-up:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Inquire,/.about,/.adherence,/.and,/.any,/.side,/.effects,/.
-Reassess,/.monthly,/.until,/.patient,/.reaches,/.goal,,/.then,/.every,/.3-
6,/.months,/.as,/.needed


Expected,/.course:,/.Hypertension,/.-,/.correct,/.answer,/.✔ ✔ -
Only,/.54%,/.of,/.treated,/.patients,/.are,/.at,/.goal,/.treatment;,/.expect,/.complicatio
ns,/.if,/.under,/.treated
-Most,/.patients,/.require,/.more,/.than,/.one,/.medication,/.to,/.reach,/.goal,/.bp