Clinical Approach to Hypertension Flashcards Preview

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Flashcards in Clinical Approach to Hypertension Deck (19):
1

What is the proper BP technique?

- Seated in a chair with feet on the floor
- Arm relaxed at heart level
- Done on skin

2

What are the classic symptoms of HTN?

None

3

Prehypertension

Systolic 120-139
Diastolic 80-89

4

Stage I HTN

140-159/90-99

5

Stage II HTN

≥160 systolic OR ≥100 diastolic

6

White Coat HTN

BP is higher in the office than at home

7

Malignant HTN

BP > 200/120 with papilledema

8

Essential HTN

Idiopathic HTN or caused by complicated factors such as stress/weight/etc

9

Secondary HTN

The cause of the HTN is known and can be attributed to renal failure or cardiovascular disease, etc.

10

Pseudohypertension

Arteries become rigid from atherosclerosis causing BP cuff to need to be at a higher pressure to compress the artery

11

Isolated Systolic HTN

Systolic BP tends to rise with age while diastolic will fall creating a widened pulse pressure

12

Resistant HTN

Failure to treat patients with full doses of anti-HTN drugs that includes a diuretic. Often indicates it is a secondary HTN.

13

Hypertensive Urgency

Severe BP elevation without acute end organ damage

14

Hypertensive Emergency

Severe BP elevation WITH acute end organ damage

15

What must be done in a hypertensive emergency?

Immediate lowering of BP but must be done gradually

16

What are the complications of HTN, especially untreated?

BP has a direct correlation with CVD

17

What are good methods of lifestyle changes to improve BP?

- Smoking cessation
- Exercise
- Diet changes
- Weight loss

18

What are the goals of treatment for pts under 60?

BP of less than 140/90

19

What are the goals of treatment for pts over 60?

BP of less than 150/90

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