Test 2 CardioVascular Flashcards

1
Q

What is primary hypertension?

A

Vasoconstriction causes increased peripheral resistance (PVR) which creates hardened, stiff arteries and alters BP control mechanisms

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2
Q

What are 3 of the main risk factors for primary hypertension?

A

Black males
Smoking
High Cholesterol

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3
Q

What is secondary hypertension?

A

Hypertension created by an underlying disease or condition

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4
Q

What are some of the common causes of secondary hypertension?

A

Coartication of the aorta
Renal artery stenosis
Endocrine disorders like Cushings
Brain tumors/head injuries

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5
Q

What is the formula for BP?

A

BP=Cardiac output x systemic vascular resistance

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6
Q

What is cardiac output?

A

Stroke volume x HR

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7
Q

What is systemic vascular resistance?

A

Viscosity + Diameter

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8
Q

To increase pressure, arterial baroreceptors?

A

vasoconstrict to decrease CO

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9
Q

To decrease pressure, arterial baroreceptors?

A

Vasodilate to increase CO

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10
Q

In vascular auto regulation, what occurs to decrease perfusion?

A

small arteries/arterioles dilate

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11
Q

In vascular auto regulation, what occurs to increase perfusion?

A

Small arteries/arterioles vasconstrict

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12
Q

What is the effect of renin?

A

Localized vasoconstriction and decreases blood flow to the kidneys

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13
Q

What is the result of angiotension I + ACE?

A

This combination creates angiotensin II which is a powerful vasoconstrictor and stimulates the release of aldosterone

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14
Q

What is aldosterone?

A

A hormone that acts on the renal tubules that causes the retention of sodium and water
*note: it also lowers potassium

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15
Q

What is the overall goal of the RAAs system?

A

It increases BP and fluid

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16
Q

What is considered a normal BP?

A

Younger than 60: <140/90
Older than 60:<150/90

17
Q

What is considered an elevated BP?

A

120-139/80-90

18
Q

What is considered stage 1 hypertension?

A

140-159/90-99

19
Q

What is considered stage 2 hypertension?

A

> 160/>100

20
Q

What is considered a HTN crisis?

A

> 180/>110

21
Q

What is the diagnosing criteria for hypertension?

A

2+ readings on two different occasions

22
Q

What are the labs/diagnostics for hypertension?

A

Fundoscopic exam (retinopathy)
BMP
Lipid pael
UA
CXR
ECG

23
Q

How much sodium should a patient with hypertension be eating in a day?

A

<2,400mg per day

24
Q

What are some of the RN considerations for hypertension?

A

Make sure to check BP in both arms (>10mmHg can indicate aortic dissection/peripheral arterial disease)
Assess for orthostatic hypertension
Verify correct BP technique

25
Q

What are the RN considerations for someone taking a ACE inhibitor?

A

Angioedema
Dry cough
hyperkalemia
Orthostatic hypotension