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Flashcards in special considerations of htn3 Deck (20):
1

what is the term for widening of the aorta during HTN crisis

aortic dissection

2

what are the two types of aortic dissections?
which is most dangerous?

type A - more dangerous and more common
type B - a little lower down system

3

what are the drugs of choice controlling HTN in pregnancy?

1. labetalol
2. methyldopa
3. CCB's

4

what drugs should be avoided in pregnancy

1. ACE
2. ARB
3. Aldosterone Antagonist
4. Aliskiren

5

what are 3 types of HTN in pregnancy?

1. essential - idiopathic
2. secondary
3. pregnancy induce

6

what is the term for high BP prior to pregnancy or diagnosed before the 20th week of gestation

chronic HTN (either essential HTN or secondary HTN)

7

wht is increased BP during pregnancy with proteinuria after 20 weeks of gestation

pre-eclampsia

8

what is the danger of eclampsia

can develop seizures and/or coma

9

what is the best treatment to manage HTN in pregnancy?

deliver the baby (if possible)

10

what is another definitive treatment of HTN in pregnancy if delivery is not possible

bed rest, restricted activity and close monitoring

11

what system should be avoided in drug therapy of HTN in pregnancy?

drugs that effect RAA system

12

what is considered HTN crisis BP in pregnancy

systolic = 155
diastolic = 105

13

what is main goal in treating HTN crisis in pregnancy

minimize risk to mother and avoid harm to fetus

14

what is the most common reason for children to have HTN

renal disease

15

what drugs should be used with caution in children? why?

ACE/ARB - if sexually active
BB - initially cause fatigue and decrease activity

16

what are increase risks involved with HTN in the elderly?

1. increased risk for orthostatic hypotension
2. increased risk of fall

17

what are differences in HTN treatment in elderly and younger adults?

use lower starting dose and slower titration in the elderly
more lenient BP goals in the elderly

18

what is a key component of HTN control in all patients?

medication compliance

19

what are some ways to monitor med compliance

1. BP readings
2. questions for patient and follow up
3. pill counts
4. refill monitoring

20

what are some ways to improve med compliance

1. keep regimens simple and inexpensive
2. patient education
3. reminder systems