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33 — Mod. 7
Circulation & Hypertension
| Question | Answer |
|---|---|
| What is primary hypertension? | elevated BP w/out identified cause |
| What is secondary hypertension | elevated BP w/ specific cause |
| What is postural (orthostatic) hypotension? | hypotension immediately following standing up |
| What are 10 diagnostic tests for hypertension? | BP measurement, BUN/serum creatine, creatine clearance, serum electrolytes, serum glucose, serum lipid, uric acid profile, ECG, ABPM |
| What symptoms are present during the early stages of hypertension? | No symptoms ("silent killer") |
| What does Lopressor treat? | high BP & other heart conditions |
| What drug class is important in determining a patient's perfusion rate? | diuretics |
| What does a nurse expect to find in the heart of a patient with long-term uncontrolled HTN? | left ventricular hypertrophy (increased cardiac workload) |
| What is the main annoying side effect of ACE inhibitors, which leads to switching to angiotensin receptor blockers? | a dry, nonproductive cough |
| What are 3 short-term effects of diuretics? | increased salt and water excretion, decreased intravascular volume, decreased systemic vascular resistance |
| What system is not involved in the short-term effects of diuretics? | the RAAS |
| What 5 organs are targeted by hypertension? | brain, heart, kidney, lungs, eyes |
| What is "white-coat hypertension"? | high BP reading achieved in clinical setting |
| What are 5 drug families used to treat hypertension? | diuretics, beta blockers, ACE inhibitors, CCBs, direct vasodilators |
| What are the 3 main tenants of the DASH diet? | high calcium & potassium, moderate alcohol consumption, low sodium & saturated fat |
| What are the 6 "Compelling Reasons" to alter HTN tx? | Heart failure, post myocardial infarction (heart attack), high coronary disease risk, diabetic HTN, chronic kidney disease, stroke prevention |