click below
click below
Normal Size Small Size show me how
Chapter 18
| Question | Answer |
|---|---|
| What is the blood pressure for HTN? | 130/80 |
| What needs to happen have a d/x of HTN? | BP of 130/80 at least twice on 2 different occassions 2 weeks apart |
| Range for normal BP | 120/80 |
| Range for elevated BP | 120-129/90 |
| Range for HTN Stg 1 | 130-139/80-89 |
| Range for HTN Stg 2 | 140/90 |
| HTN Urgency | 180/110 |
| HTN Crisis | 180/120 |
| T/x for normal BP | Monitor if risk factors present |
| T/x for elevated BP | Lifestyle changes |
| T/x for HTN stg 1 | ACE inhibitor ARB CCB |
| T/x for HTN stg 2 | Drugs and adding diuretics |
| T/x for HTN urgency | Observed in ER, Follow up with PCP, and give oral medications |
| T/x for HTN emergency/crisis | ICU with fluids and medications |
| What medications would be given through IV to those in HTN emergency | Nitroglycerin Nipride Labetolol |
| What is the desired outcome for a HTN emergency | BP below 160/100 in the first 2 hours |
| Why do you want to decrease BP slowly | To prevent renal, cerebral or coronary ischemia |
| What are the classes for diuretics | Thiazides Loop K+ Sparing |
| What should you check for with thiazide? | Sulfa allergy |
| What should you monitor with loop and K+ sparing diuretics | Monitor diabetic patient for increased blood glucose |
| How does a thiazide diuretic work | Increases the excretion of H2O, NA, K+ and Cl by blocking Na and Cl |