NSG 6340 Study Guide exam with 100% correct answers

Hypertension The force in arterial structures created by an interplay of flow, volume, and constriction. It is also defined by determining the levels of BP that cause target organ damage, morbidity, and mortality as arterial flow is delivered. BP classification Normal SBP <120 DBP <80 Pre HTN SBP 120-139 DBP 80-89 Stage I SBP 140-159 DBP 90-99 Stage II SBP >160 DBP >100 JNC Guidelines for HTN Control >60 years of age, start pharmacologic treatment if BP exceeds 150/90 <60 years of age with DM and CKD, start pharmacologic treatment if BP exceeds 140/90 Non-Black w/wo DM start Thiazide-type diuretics, Calcium channel blockers (CCBs) Angiotensin-converting enzyme inhibitor (ACEI) Angiotensin receptor blocker (ARB) African American w/wo DM start Thiazide-type diuretics and Calcium channel blockers (CCBs) Hyperlipidemia/National Cholesterol Educational Program (NCEP) Very important in the prevention of heart disease and stroke. Per guidelines of NCEP it is important to encourage patients with known cardiovascular disease and diabetes to be treated with an LDL level of less than 100, HDL should be >40 in males and >50 in females, and triglycerides should be <150. Diabetics have lower HDL and higher triglycerides than other patients. If combination of low HDL and high triglycerides is noted, inquire about personal family hx.