UTA Nurs5334 Advanced Pharmacology Test 2 (100% Solved!)

HTN is defined as correct answers As SBP 130mmHg or DBP 80mmHg How many BP readings are required to diagnoses HTN correct answers Diagnosis should be based on BP readings over one to two weeks HTN treatment goal is correct answers To reduce cardiovascular and renal morbidity and mortality The usual form of HTN is correct answers Primary or essential Elevated SBP presents a correct answers Greater risk for complications than elevated DBP for people older than 50 y/o For all ages, HTN related deaths result correct answers Largely from cerebral hemorrhage, renal failure, heart failure and MI Four BP categories correct answers Normal SBP 120 and DBP 80 Elevated SBP 120-129 or DBP 80 Stage 1 SBP 130-139 or DBP 80-89 Stage 2 SBP = 140 or DBP = 90 1. A 30-year-old man in for annual examination. On last exam one year ago, BP was 120/70. Patient has no complaint. On examination, vital signs: BP 158/96 mm Hg, P 88, R 20 T 98.6 F orally, BMI 34 Kg/m2. Rest of examination showed normal results. What would your next step be? correct answers a) Start antihypertensive therapy with one agent b) Start antihypertensive therapy with two agents c) Check BP two more times in the next two weeks. d) Send patient to ER 2. Your last patient for the day is a 72-year-old woman with several chronic medical problems including: Hypertension, hyperlipidemia, osteoarthritis, anemia, and diabetes mellitus type 2. Current medications consist of hydrochlorothiazide, atorvastatin (Lipitor), acetaminophen, ferrous sulfate, and metformin. Patient brings in her BP log which shows BP readings between 152/92 to 160/96 mm Hg over the past three months. Potassium is 4.9 mg/dl (normal 3.5-5.5 mg/dl). Your next best action is to: correct answers a) Add another diuretic like aldosterone. b) Prescribe an angiotensin-converting enzyme inhibitor (ACEI) c) Continue current medications. No need to add another medication as patient may forget to take it. d) Schedule a six months follow-up visit.