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Flashcards in Hypertension Deck (22)
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1

Arterial Hypertension is defined as?
Elevation of Systolic BP?
Elevation of Diastolic BP?

Persistent
SBP > 140
DBP >90

2

What is the "Silent Killer"? and Why?

Hypertension b/c it is often asymptomatic

3

Primary Hypertension

90% of all cases
Onset ages 30-50
Causes are Unknown
Theories: weight, increased sodium intake, lifestyle, hereditary

4

Secondary Hypertension

10% of all cases
Onset > 50 years old
Identifiable Causes: pregnancy, cheese, burns, parathyroidism, oral contraceptive, kidney disease, beer/wine

5

Borderline Hypertension

Intermittent elevations of BP interspersed with NORMAL readings

6

What evaluation approach would the physician use with Borderline Hypertension? what is a problem with this approach?

Doctor will use the "watch and see" approach, but the problem is people do not always show up for their follow up

7

Malignant Hypertension

Marked elevation of diastolic > 140 associated with papilledema
**Sudden onset with rapid development of s/s
(Stroke level)

8

Benign Hypertension

Uncomplicated hypertension of long duration
slow onset

9

White Coat Hypertension

Patient has normal BP except when measurements are taken by a healthcare professional

10

Nonmodifiable Risk Factors are?

Family history, age, gender, ethnicity

11

Modifiable Risk Factors?

Stress, obesity, smoking, physical inactivity

12

Does smoking cause hypertension?

Smoking does not directly cause it, but it is a contributor b/c it causes vasoconstriction and it increases the risk for heart disease

13

Normal BP

120/80

14

Prehypertensive

120-139 / 80-89

15

Hypertensive Stage 1

140-159 / 90-99

16

Hypertensive Stage 2

>160 / >100

17

Resistant Hypertension

patients conventional BP remains uncontrolled by 3 classes of antihypertensive agents, including a diuretic

18

How is a medical diagnosis of hypertension made?

Based on 2+ accurate BP measurements taken during 2+ contacts with a healthcare professional

19

Diagnosis consists of?

Patient history, physical assessment, diagnostic tests, BP measurements

20

As a nurse what should you encourage?

Smoking cessation, exercise, weight loss, restriction of alcohol consumption (wine/beer)

21

What is the number one drug of choice for hypertension? Why?

Diuretics, b/c they pull fluid off of the heart
-Decrease blood volume, renal blood flow, and cardiac output

22

Vasodilators

open up blood vessels