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Perfusion/HTN-Chapter 26

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Question
Answer
Normal BP   < 120/ <80 mmHg  
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Pre-HTN   120-139/80-89 mmHg  
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stage 1 HTN   140-159/90-99 mmHg  
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stage 2 HTN   >160/ >100 mmHg  
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HTN   >135/ >85 mmHg  
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Orthostatic HTN   a drop in BP changing from lying to sitting  
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HTN complications   atherosclerosis, cardiac, renal, and peripheral vascular disease  
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Cardiac output   the volume of blood flowing through either the systemic or the pulmonary circut per minute nad exerts pressure on artery walls  
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CO is affected by   Na intake, venous constricion, stress  
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Preload   How much does right ventricle have to strech to accomodate incoming blood?  
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Afterload   How hard does left ventricle have to pump to expel blood?  
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HTN symptoms   may be asymptomatic, retinal changed, papilledema, target organ damage (heart, kidney, cerebrovascular), pain, dizziness, tinitus, early AM headache, blurred vision, nocturia  
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Target organ damage - Heart   angina, MI, heart failure  
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Target organ damage - kidney   renal failure  
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Target organ damage - cerebrovascular   TIA, stroke  
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Target organ damage - eye   retinopathy  
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HTN lab studies   Na, K, creat, fasting glucose, cholesterol, LDL,HDL, EKG  
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HTN assessment   family hx, occupation, diet, exercise  
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HTN treatment recommendations   weight loss, reduce ETOH and Na intake, regular exercise, stop smoking, reduce fat and cholesterol  
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HTN Meds   diuretics, andrenergic inhibitors, B-blockers, A-blockers, vasodilators, ACE-inhibitors, angiotensin II receptor blockers, CCBs, peripheral vasodilators  
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Collaborative problems   Left ventricular hypertorphy, MI, heart failure, TIAs, stroke, renal failure  
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HTN crisis   BP must be lowered immediately (w/in) to halt or prevent organ damage  
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