NUR 611-ADVANCED HEALTH ASSESSMENT IN NURSING PRACTICE
Atorvastatin / Rosuvastatin - answers✔✔What are the high intensity statins?
-40-75 y.o. with ASCVD risk >7.5%
-LDL >190 - answers✔✔Who should start high intensity statins?
->75 y.o with ASCVD risk
-40-75 y.o with DM
-40-75 y.o. w/o CVD or DM WITH ASCVD >7.5% AND LDL 70-189 - answers✔✔Who should start
moderate intensity statins?
Mediterranean/ low fat - answers✔✔What type of diet is recommended for dyslipidemia?
<200 - answers✔✔what is a normal total cholesterol level?
<150 - answers✔✔What is a normal triglyceride level?
40-50 - answers✔✔What is a normal HDL level?
<70 - answers✔✔What is a normal LDL level?
-muscle weakness
,-rhabdo
-dyspepsia
-abdominal pain - answers✔✔What are some side effects of statins?
Essential hypertension - answers✔✔what type of hypertension is from a dysfunction of
vasodilation/vasoconstriction?
Secondary hypertension - answers✔✔What type of hypertension is caused from an identifiable
underlying condition?
-Onset age <30 or >50
-BP >180/110 at diagnosis
-Significant TOD at diagnosis
-Poor response to therapy - answers✔✔What are signs of secondary HTN that distinguish it
from essential HTN?
Masked hypertension - answers✔✔What type of hypertension is present outside the office and
normal in clinic?
Malignant hypertension
Hypertensive urgency - answers✔✔What type of hypertension is >180/110 with target organ
damage?
What is it called without TOD?
PO Clonidine 24-48 hr - answers✔✔How do you treat hypertensive urgency?
Inpatient
, Hydralazine - answers✔✔How do you treat hypertensive emergency?
systolic 130-139 or diastolic 80-89
>140 or >90 - answers✔✔What blood pressure is considered Stage 1 HTN?
Stage 2?
Left atrial enlargement - answers✔✔what is an early EKG finding associated with HTN?
thiazide diuretics- Chlorthalidone - answers✔✔What is first line treatment for hypertension?
severe renal disease - answers✔✔When do you use caution with Thiazide diuretics?
-Hypokalemia
-Hyperuricemia
-rise in lipid levels - answers✔✔what are some specific possible side effects for thiazide
diuretics?
-bilateral renal artery stenosis
-pregnancy - answers✔✔when do you avoid using ACE inhibitors?
recent MI - answers✔✔when do you avoid using CCB's?
ACE inhibitors - answers✔✔what antihypertensive is effective for patients with HF, post MI, or
renal insufficiency?
-COPD
Atorvastatin / Rosuvastatin - answers✔✔What are the high intensity statins?
-40-75 y.o. with ASCVD risk >7.5%
-LDL >190 - answers✔✔Who should start high intensity statins?
->75 y.o with ASCVD risk
-40-75 y.o with DM
-40-75 y.o. w/o CVD or DM WITH ASCVD >7.5% AND LDL 70-189 - answers✔✔Who should start
moderate intensity statins?
Mediterranean/ low fat - answers✔✔What type of diet is recommended for dyslipidemia?
<200 - answers✔✔what is a normal total cholesterol level?
<150 - answers✔✔What is a normal triglyceride level?
40-50 - answers✔✔What is a normal HDL level?
<70 - answers✔✔What is a normal LDL level?
-muscle weakness
,-rhabdo
-dyspepsia
-abdominal pain - answers✔✔What are some side effects of statins?
Essential hypertension - answers✔✔what type of hypertension is from a dysfunction of
vasodilation/vasoconstriction?
Secondary hypertension - answers✔✔What type of hypertension is caused from an identifiable
underlying condition?
-Onset age <30 or >50
-BP >180/110 at diagnosis
-Significant TOD at diagnosis
-Poor response to therapy - answers✔✔What are signs of secondary HTN that distinguish it
from essential HTN?
Masked hypertension - answers✔✔What type of hypertension is present outside the office and
normal in clinic?
Malignant hypertension
Hypertensive urgency - answers✔✔What type of hypertension is >180/110 with target organ
damage?
What is it called without TOD?
PO Clonidine 24-48 hr - answers✔✔How do you treat hypertensive urgency?
Inpatient
, Hydralazine - answers✔✔How do you treat hypertensive emergency?
systolic 130-139 or diastolic 80-89
>140 or >90 - answers✔✔What blood pressure is considered Stage 1 HTN?
Stage 2?
Left atrial enlargement - answers✔✔what is an early EKG finding associated with HTN?
thiazide diuretics- Chlorthalidone - answers✔✔What is first line treatment for hypertension?
severe renal disease - answers✔✔When do you use caution with Thiazide diuretics?
-Hypokalemia
-Hyperuricemia
-rise in lipid levels - answers✔✔what are some specific possible side effects for thiazide
diuretics?
-bilateral renal artery stenosis
-pregnancy - answers✔✔when do you avoid using ACE inhibitors?
recent MI - answers✔✔when do you avoid using CCB's?
ACE inhibitors - answers✔✔what antihypertensive is effective for patients with HF, post MI, or
renal insufficiency?
-COPD
