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Nursing Exam 4 Hypertension(Correctly solved)

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Most common type of HTN correct answersEssential. Essential HTN is NOT caused by an existing health problem Secondary HTN characteristics correct answerscaused by specific disease or drugs taken that increase risk of high BP Risk of continuous hypertension correct answersContinuous elevation of BP in those with essential hypertension results in damage to organs by causing medial hyperplasia(thickening of the arteriole). As vessels thicken and perfusion decreases. Essential HTN Risk factors correct answersFamily history African american hyperlipidemia smoking age 60 obesity physical inactivity excessive/continuous stress excessive alcohol intake Secondary HTN causes correct answersKidney disease Cushings syndrome brain tumors pregnancy encephalitis (inflammation of the brain) narrowing of the aorta Drugs: estrogen, oral contraception, glucocorticoids, mineralcorticoids What is orthostatic HTN correct answersAKA postural change BP. When systole drops 20mmHG or diastole drops 10mmHG when patient changes from lying to sitting. Stages of hypertension correct answersNormal BP: 120 systolic/80 diastolic Elevated: systolic 120-129/80 diastolic Stage 1 HTN: systolic 130-139/ 80-89 diastolic Stage 2 HTN: systolic 140/ 100 diastolic ≥ 90 diastolic what is a hypertensive crisis correct answersSystolic over 180 and/or diastolic over 120. Hypertensive crisis treatment correct answersNipride, Cardene, Corlopam, and Labetolol reduce BP quickly Important to only reduce BP 25% within a 2-6 hour period Oxygen should be given if needed

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Nursing Exam 4 Hypertension(Correctly solved)
Most common type of HTN correct answersEssential. Essential HTN is NOT caused by an
existing health problem

Secondary HTN characteristics correct answerscaused by specific disease or drugs taken that
increase risk of high BP

Risk of continuous hypertension correct answersContinuous elevation of BP in those with
essential hypertension results in damage to organs by causing medial hyperplasia(thickening of
the arteriole). As vessels thicken and perfusion decreases.

Essential HTN Risk factors correct answersFamily history
African american
hyperlipidemia
smoking
age > 60
obesity
physical inactivity
excessive/continuous stress
excessive alcohol intake

Secondary HTN causes correct answersKidney disease
Cushings syndrome
brain tumors
pregnancy
encephalitis (inflammation of the brain)
narrowing of the aorta
Drugs: estrogen, oral contraception, glucocorticoids, mineralcorticoids

What is orthostatic HTN correct answersAKA postural change BP. When systole drops
20mmHG or diastole drops 10mmHG when patient changes from lying to sitting.

Stages of hypertension correct answersNormal BP: <120 systolic/<80 diastolic
Elevated: systolic 120-129/<80 diastolic
Stage 1 HTN: systolic 130-139/ 80-89 diastolic
Stage 2 HTN: systolic >140/ >100 diastolic ≥ 90 diastolic

what is a hypertensive crisis correct answersSystolic over 180 and/or diastolic over 120.

Hypertensive crisis treatment correct answersNipride, Cardene, Corlopam, and Labetolol reduce
BP quickly

Important to only reduce BP 25% within a 2-6 hour period

Oxygen should be given if needed

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