Hypertension Flashcards

1
Q

Hypertension

A

the elevation of blood pressure to values correlated with cardiovascular damage

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2
Q

Is hypertension symptomatic or asymptomatic

A

asymptomatic

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3
Q

Two types of blood pressure

A

primary and secondary

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4
Q

Primary (essential) hypertension

A

most common, unknown etiology, can happen to anyone

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5
Q

Secondary hypertension

A

resulting from pathologic changes in another body system or organ

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6
Q

Common reasons for secondary hypertension

A

kidney disease, cushing syndrome, medication induced

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7
Q

Risk factors

A

age, african-american, family history, excess alcohol, stress, tobacco use, excess sodium in diet, insufficient potassium in diet, obesity, diabetes mellitus, sedentary lifestyle

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8
Q

What does hypertension do to arteries

A

exerts high damaging force against the endothelial lining of arteries

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9
Q

What does high pressure do to the arteries

A

causes weakness and injury to the epithelium

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10
Q

What arteries are most at risk from injury after hypertension

A

heart, retina, kidneys, brain, lower extremities

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11
Q

What does constant hypertension do to the heart

A

causes pressure in the aorta to increase, increased aortic pressure places an excessive workload on the left ventricle –> left ventricular hypertrophy

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12
Q

What is the heart susceptible to from hypertension

A

ischemia, heart failure

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13
Q

What happens to blood volume during left ventricle hypertension

A

the left ventricle cannot hold as much blood

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14
Q

Diagnostic tests

A

12 lead EKG, urinalysis, CBC, blood glucose, electrolytes

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15
Q

Why are diagnostic tests used

A

to rule out any potential causes and determine if there is organ damage

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16
Q

What electrolytes are tests focused on

A

potassium, creatinine, calcium

17
Q

Treatment diet

A

DASH - low sodium, low fat foods, increase vegetables, increase fruits, increase whole grains, increase fish, increase poultry, increase folic acid

18
Q

Lifestyle treatment changes

A

stress reduction, increase physical activity, smoking cessation

19
Q

What medications are used

A

diuretics, ACE inhibitors, ARBs, beta-blockers

20
Q

What kind of medication is hydrochlorothiazide (HCTZ)

A

diuretic

21
Q

What kind of medication is lisinopril (prinivil, zestril)

A

ACE inhibitor

22
Q

What kind of medication is metoprolol (lopressor)

A

beta-blockers

23
Q

Complications of hypertension

A

can damage organs, fatal intracerebral hemorrhage, hypertensive heart disease, arterial wall damage, stroke

24
Q

What hypertensive heart diseases can occur

A

LVH, heart failure, myocardial ischemia/infarction

25
Q

What can arterial wall damage lead to

A

aneurysms, ruptures