Summary NUR 638 Final Exam Study Guide 2023

NUR 638 Final Exam Study Guide 2023. Recommendations to reduce blood pressure prior to initiating medications & which recommendation yields the greatest potential reduction Lifestyle modifications – regular exercise, the maintenance of a healthy weight, tobacco cessation, a reduction of daily sodium to below 2300mg, and moderation of alcohol intake are essential first steps. Relaxation and meditation exercises. Diet and lifestyle modification. o Medication management, first-line therapies Based on age, ethnicity, and comorbidities, as well as pt preference. Antihypertensives categories: Primary category: Thiazide-like diuretics, ACE inhibitors, angiotensin receptor blockers (ARBs), and calcium channel blockers (CCBs). Beta blockers are not recommended as baseline hypertension therapy but are indicated in settings of known CAD or heart failure with reduced EF o Lab monitoring required after starting various anti-hypertensive medications Potassium and renal function must be monitored after initiation of diuretics, ACE inhibitors, or ARBS. Routine evaluation of hypertension includes UA and CBC and determination of serum potassium, BUN, serum creatinine, fasting blood glucose, plasma lipoprotein, serum uric acid, and calcium concentrations.