Chp 13 Hypertension

Question 1

Current BP threshold

Answer 1

130/80

Question 2

Essential or Primary HT

Secondary HT

Answer 2

90-95% of people – no know evident cause

result of an identifiable cause, e.g. kidney disease

Question 3

Normal BP

Elevated

HT Stage 1

HT Stage 2

Answer 3

<120/<80

120-129/<80

130-139 -OR- 80-89

> /equal to 140 -OR- >/equal to 90

Question 4

BP is the result of….

Answer 4

amount of blood the heart pumps out in one minute AND total peripheral resistance –> cardiac output (HR x SV) x TPR

Question 5

Doubling of mortality from ischemic heart disease and stroke with what increases for SBP and DP?

Answer 5

SBP - 20 mmHG increase

DP - 10 mmHG

Question 6

HT established stage, one or more of the following is in play

Answer 6

enlarged heart
narrowing of eye arteries
high level of urinary protein

Question 7

HT in younger adults usu d/t…..

HT in older adults usu d/t….

Answer 7

excess salt and water retention

rise in TPR

Question 8

Most common form of HT in adolescents is….

Answer 8

obesity related

Question 9

Genetics vs. behavioral re: predictors of HT

Answer 9

Behavioral, e.g. sedentary lifestyle or other behaviors

Question 10

Major lifestyle factors that reduce BP

Answer 10

Nutrition - exercise - body weight

Question 11

How long to give lifestyle change b/f RX prescribed?

Answer 11

6 months

Question 12

DASH diet stands for…

Answer 12

Dietary Approaches to Stop Hypertension

Question 13

Exercise recs for improvement of SBP and DP - both elevated and people with HT

Answer 13

150 minutes of exercise/week or more

Greatest reductions in those with HT

Supplement with resistance training 2 days/week

Question 14

Which relaxation technique had significant reduction in BP?
-biofeedback
-progressive mm relaxation
-stress mgt training
-TM

Answer 14

TM!

Question 15

Which common medication class are the first drug of choice of UNCOMPLICATED HT - often used in combo with other drug classes for complicate cases

Answer 15

Thiazide diuretics