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Ch 32 - Hypertension - Med-Surg Nursing(Correct answers) Treatment of hypertension(Completely solved) Non-Pharmacological Management of Hypertension(100% Verified) Hypertension-First line treatment(Completely solved) Hypertension PNN(100% Correct answers)

Goal of blood pressure, < 50 yrs. correct answersSystolic <140; Diastolic <90 Goal of blood pressure >50 correct answersSystolic <150; diastolic <90 first line treatment for HTN in general population without chronic kidney disease correct answersThiazide-type diuretic, ACEI, ARB, or CCB (alone or in combination if necessary Example of thiazide diuretic prescription correct answersHCTZ 12.5mg PO QD Example of ACE I prescription if not maintained on diuretic correct a...

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 fact...

Hx and physical correct answers48 year old African American male was directly admitted from his physician's office to the ICU after his BP was 210/114, and the client reported dizziness, headache, and fatigue. The client takes antihypertensives but lost his insurance and was unable to afford refills. He states his symptoms start3ed two days ago after his last dose of clonidine. Prior to this episode, the client reported that his htn was well controlled with his medications. The client has a m...

AHA/ACC BP definitions correct answersNormal: <120/80 - annual BP checks Elevated: SBP 120-129 but DBP is still <80 - lifestyle changes HTN Stage I: SBP 130-139 or DBP 80-89 - check 10-year CVD risk --> if <10% lifestyle change and reassess in 3-6 months, if >10% lifestyle change and medication with monthly follow-ups until normal BP HTN Stage II: SBP >/= 140 or DBP >/= 90 - lifestyle change and 2 meds with monthly follow-ups until normal BP AHA/ACC Goals correct answe...

more potent CV risk factor than SBP until age 50 correct answersDBP continues to go up with age correct answersSBP hypertensive emergency correct answerselevated P without current end organ damage; doesn't require rapid decrease how to lower bp in clinic correct answersoral furosemide (if vol overloaded) or oral clonidine at 0.2mg accelerated htn correct answersclinical evidence of severe arteriolosclerosis, grade III, IV, hypertensive retinopathy secondary hypertension correct...

JNC7 diagnostic criteria correct answers•Normal blood pressure: systolic <120 mmHg and diastolic <80 mmHg •Prehypertension: systolic 120-139 mmHg or diastolic 80-89 mmHg •Hypertension: Stage 1: systolic 140-159 mmHg or diastolic 90-99 mmHg Stage 2: systolic ≥160 or diastolic ≥100 mmHg How to establish the diagnosis correct answersAverage of two or more properly measured readings at each of two or more visits after an initial screen (BP drops an average of 10-15 mmHg btwn v...

What are the two physiologic contributors to blood pressure? correct answersCardiac Output Peripheral Vascular resistance What are the two physiologic contributors to cardiac output? correct answersHeart rate Stroke volume What are the 3 factors that affect Stroke volume? correct answersPreload Contractility Afterload What are non-pharmacologic recommendations for reducing HTN? What are the approximate pressure drops of each? correct answersReduce weight (5-20 per 10kg lost) Ado...

Pediatric HTN Prevalence correct answers- Has increased from 1% to 3.6% in childhood - 15.7% in high schoolers - Hgh correlation of HTN in adolescents w/ obesity Pediatric HTN Prevalence, continued correct answers- Since 1980, prevalence of childhood obesity has nearly tripled; risk is even higher in low-income children (CDC) - Overweight and obese kids have increased risk for HTN, metabolic syndrome, IGT, and DM2 - Early dx critical b/c HTN will persist into adulthood with increa...