BP assessment Flashcards

1
Q

What is a normal HR?

A

60-100 bpm

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2
Q

What do diminished pulses suggest?

A

CHF
atherosclerosis

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3
Q

What is systole?

A

ventricular conctraction

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4
Q

What is diastole?

A

ventricular relaxation

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5
Q

What is HTN?

A

> 120/80

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6
Q

What is hypotension?

A

90/60

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7
Q

What is HTN crisis?

A

systoliv >180 and or diastolic >120

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8
Q

What is an elevated BP?

A

systolic 120-129 AND diastolic 80-89

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9
Q

What is orthostatic hypotension?

A

decrease in BP by > 10-20 mmHG

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10
Q

What are ways to reduce orthostatic hypotension?

A
  1. stand up slow
  2. drink water, low circulating volume
  3. increase sodium
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11
Q

What is pulsus alternans?

A

alternating strong and weak pulse

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12
Q

What does pulsus alternans indicate?

A

CHF
long standing HTN

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13
Q

What is a normal sound when percussing the chest wall on the left-most border of the heart?

A

dull

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14
Q

What are outcomes of uncontrolled HTN?

A
  1. MI
  2. CVA
  3. retinal damage
  4. renal damage
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15
Q

What are lifestyle modifications for HTN?

A
  1. low sodium (2-3g/day)
  2. high fiber (25-30 g/day)
  3. low sugar
  4. low saturated fat
  5. DASH diet
  6. stress reduction
  7. exercise
  8. moderate alcohol
  9. avoid nicotine
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16
Q

What are the 1st line meds for HTN?

A

ACEi
ARB
Thiazide
CCB

17
Q

What are the Korotkoff sounds?

A

S1- tapping
S2- squishing
S3- tapping
D4- muffling
D5 no sound (diastole)

18
Q

What is pulus paradoxus?

A

fall in systolic BP (>10mmHG) and pulse rate during inspiration

19
Q

What can pulus paradoxus be a sign of?

A

pericarditis
cardiac tamponade
severe lung disease
OR can happen is healthy patient

20
Q

How is BP effected by someone with an ausultory gap?

A

falsly high diastolic

21
Q

What are auscultory gap be a sign of?

A

pulmonary/cardiac disease OR
nomal

22
Q

What does an absense of the D5 sound (silence) indicate?

A

advaced atherosclerosis

23
Q

How is blood pressure taken when D5 sound absent?

A

D4 muffling becomes diastolic

24
Q

How does a cuff that is too big effect BP?

A

falsly low

25
Q

How does a cuff thats too small effect BP?

A

falsly high

26
Q

What arm is preffered for BP?

A

right

27
Q

How do you know how high to pump the cuff?

A

POP(pulse obliteration point) assessment:
1. palpate radial artery
2. inflate until cuff until you can’t feel pulse
3. inflate 30mmHG above POP