2: Adult HTN

Question 1

High blood pressure is a major risk factor for _____.

Answer 1

High blood pressure is a major risk factor for kidney disease.

Question 2

Reducing average _____ intake could reduce cases of high blood pressure.

Answer 2

Reducing average sodium intake (from 3,300 to 2,300) could reduce cases of high blood pressure.

Question 3

What BP constitutes pre-HTN in adults?

Answer 3

120-139/80-89

Question 4

What BP constitutes Stage 1 HTN in adults?

Answer 4

140-159/90-99

Question 5

What BP constitutes Stage 2 HTN in adults?

Answer 5

>160/100

Question 6

HTN and stage is determined by at least _____ elevated BP readings on _____ different days at _____ different times of day. Use law of averages.

Answer 6

HTN and stage is determined by at least 3 elevated BP readings on 3 different days at 3 different times of day. Use law of averages.

Question 7

T/F Symptoms are not needed for a diagnosis.

Answer 7

True. Majority of people are asymptomatic at diagnosis.

Question 8

HTN leads to target organ damage in the heart, brain, kidneys, and eyes. How does it present in each case?

Answer 8

• Heart: Angina, Left ventricular hypertrophy, MI, HF
• Brain: Stroke, TIA
• Kidneys: Progressing dx can lead to renal failure
• Eyes: Retinopathy of HTN, Blindness

Question 9

What labs are used to evaluate HTN in adults?

Answer 9

According to Asynch

• UA
• BUN, creatinine, electrolytes ( BMP)
• CBC
• Glucose
• Lipid panel
• Echocardiogram
• TSH