OST 579 Lecture #2 - Hypertension Part #2
Review from first lecture:
What are some of the exogenous causes of hypertension? (Meds/others) (8) -
ANSWERS-1. Oral contraceptives
2. Estrogens
3. Glucocorticoids
4. Cyclosporine
5. NSAIDs
6. Sympathomimetic drugs
7. Alcohol
8. Cocaine
Laboratory testing useful for patients with suspected hypertesnion? - ANSWERS--
Creatinine and BUN/urinalysis (evaluate for renal abnormalities)
-Serum potassium (low in renovascular HTN or primary aldosteronism)
-Blood glucose
-Blood lipids
-Electrocardiogram (evidence of LVH can indicate chronic hypertension)
First steps in the treatment of hypertension?
-Establish the ________ of hypertension (BP varies day to day, white coat
hypertension, utilize multiple readings, home BP monitoring, automatic ambulatory
measurements)
-Consider ________ over time for mild hypertension
-Attempt _________ changes initially as alternative to immediate drug therapy
-More prompt therapy for CAD/multiple risk factors
-Therapy BP goal is <______/______ for most HTN patients - ANSWERS-Diagnosis
Observation
Lifestyle
130/80
Nonpharmacological treatment of hypertension? (6) - ANSWERS-1. Weight reduction
2. Exercise
3. Diet (sodium restriction, correct potassium deficiency, decrease chronic alcohol
intake, low calcium intake and magnesium depletion associated with HTN, lower
caffeine intake)
4. Smoking cessation
5. Screen of obstructive sleep apnea
6. Relaxation therapy and stress reduction (meditation/biofeedback)
What is the DASH diet? - ANSWERS-Dietary Approaches to Stop Hypertension
-8-10 servings of fruits and vegetables per day
Review from first lecture:
What are some of the exogenous causes of hypertension? (Meds/others) (8) -
ANSWERS-1. Oral contraceptives
2. Estrogens
3. Glucocorticoids
4. Cyclosporine
5. NSAIDs
6. Sympathomimetic drugs
7. Alcohol
8. Cocaine
Laboratory testing useful for patients with suspected hypertesnion? - ANSWERS--
Creatinine and BUN/urinalysis (evaluate for renal abnormalities)
-Serum potassium (low in renovascular HTN or primary aldosteronism)
-Blood glucose
-Blood lipids
-Electrocardiogram (evidence of LVH can indicate chronic hypertension)
First steps in the treatment of hypertension?
-Establish the ________ of hypertension (BP varies day to day, white coat
hypertension, utilize multiple readings, home BP monitoring, automatic ambulatory
measurements)
-Consider ________ over time for mild hypertension
-Attempt _________ changes initially as alternative to immediate drug therapy
-More prompt therapy for CAD/multiple risk factors
-Therapy BP goal is <______/______ for most HTN patients - ANSWERS-Diagnosis
Observation
Lifestyle
130/80
Nonpharmacological treatment of hypertension? (6) - ANSWERS-1. Weight reduction
2. Exercise
3. Diet (sodium restriction, correct potassium deficiency, decrease chronic alcohol
intake, low calcium intake and magnesium depletion associated with HTN, lower
caffeine intake)
4. Smoking cessation
5. Screen of obstructive sleep apnea
6. Relaxation therapy and stress reduction (meditation/biofeedback)
What is the DASH diet? - ANSWERS-Dietary Approaches to Stop Hypertension
-8-10 servings of fruits and vegetables per day
