exam 4 Flashcards
(28 cards)
How many adults in US have HPTN
65 million
what % don’t know they ahve HPTN
30%
% of primary hypertension
95%
% of secondary hypertension
5%
Primary/Seconday what is indentify cause and what isnt
Primary - unidentifiable Secondary - indentifiable
white coat
hypertension in clinic
masked hptn
normal BP at clinic - hptn at home/work
Normotension
<120/80
We must look at HPTN on _____ and assess ___ readings
continueum and 2
Prehypertension range
120-139/80-89
prehypertension treatment
lifestyle - exercise, lose #, no smoke, decrease sodium, diet, stop drinking
HPTN Stage 1
140-159/90-99
HPTN Stage1 Treat
lifestyle change and meds
HPTN Stage 2
160+ / 100+
HPTN Stage 2 treat
medications
Risk factors
age, men over women until menopause, obesity, dyslipidemia, DM, sedentary life, metabolic syndrome, african american (male), oral contraceptives when smoke/fat
Systemic RF
increased sympathetic nervous system activity, increased absorption of Na, Cl, H20. increased ECFV, increased systemic vascular resistence
Underlying systemic effects from HPTN
heart disease, stroke, kidney disease, PAD, retinopathy
nursing manage
loss, DASH, Na restrict 2g, activity, mod alcohol consumed, no smoke, compl/alt. therapy (yoga/acu), manage stress
Pharm treat
2 drugs. Diuretics, BB, Alpha2 Agonist,, vasodilator, ACE, ARB, CC blocker
when can you stop meds?
when <140/90 for 1 year +
HPTN Crisis
> 180/120
causes of HPTN Crisis
head injury, pheochromocytoma, food/drug interaction, eclampsia, drugs, renal disease. AA men old
HPTN urgency
no organ damage, severe HA, epistaxis, anxiety -
