Blood Pressure Flashcards

1
Q

what is being measured with blood pressure

A

the arterial wall force

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2
Q

what are the 4 factors that determine blood pressure readings

A

the force of the blood pumped, amount of blood pumped, size of arteries, and flexibility of arteries

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3
Q

how much can the reading vary from right to left arm

A

as much as 5mmHg

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4
Q

what are 5 reasons to screen BP in clinic

A

compliance, reinforce importance of compliance, silent disease, may see effect in vision or retina, and drugs prescribed may increase BP

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5
Q

what is hypertensive retinopathy

A

a manifestation of the disease in the eye

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6
Q

what are 4 potential findings on the retina from BP

A

retinal arteries may narrow and constrict, hemorrhages and exudates, local hypoxia= cotton wool spots, and papilledema

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7
Q

what are 6 other conditions that BP can cause in the eye

A

sub-conjunctival hemorrhage, retinal vein occlusion, retinal artery occlusion, retinal artery macroaneurysms, oculomotor palsies, and exudative retinal detachments

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8
Q

what 2 diseases can hyper or hypotension cause

A

OAG (open angle glaucoma) and amaurosis fugax

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9
Q

what are 2 types of hypertension

A

essential hypertension and secondary hypertension

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10
Q

what is essential hypertension

A

no identifiable underlying cause

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11
Q

what is secondary hypertension

A

pre-eclampsia, pheochromocytoma, kidney disease, or adrenal disease

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12
Q

what does the JNC 7 consider normal BP

A

less than 120/80

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13
Q

what does the JNC 7 consider pre-hypertensive BP

A

120-139/80-90

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14
Q

what does the JNC 7 consider stage 1 hypertension

A

140-159/90-99

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15
Q

what does the JNC 7 consider stage 2 hypertension

A

> 160/>99

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16
Q

what is malignant hypertension

A

extremely high blood pressure

17
Q

what are the findings in malignant hypertension

A

all the findings of hypertensive retinopathy plus swollen optic nerve head (occipital headaches)

18
Q

what is pre-eclampsia/eclampsia hypertensive retinopathy

A

20 weeks gestation, all findings of malignant hypertension, at risk for cortical blindness and occipital lobe infarction

19
Q

when do you refer patients with blood pressure

A

when symptoms (chest pain, headache, difficulty breathing, blurred vision, diastolic over 110/120) call 911

20
Q

how wide is a sphygmanometer

A

12-14cm wide

21
Q

what is a stethoscope used for

A

to listen to the sound of the blood in the brachial artery after first compressing it completely and then letting it flow

22
Q

when should a BP be taken

A

after 5 minutes of rest and 30 minutes after exercise/caffeine/smoking

23
Q

how do you estimate the systolic pressure

A

palpate radial artery, inflate cuff 30mmHg above where pulse disappears, deflate 2-3mmHg until pulse returns

24
Q

what are the 5 phases of the Korotkoff sounds

A
  1. soft tapping (systolic reading)
  2. swishing murmur
  3. crisper sound
  4. abrupt sound muffling
  5. disappearance of sound (diastolic reading)
25
Q

how long do you listen after the disappearance of sound at the end of taking a BP

A

after 20-30mmHg after last sound

26
Q

how do you record the BP

A

120/80mmHg R.A.S 5pm. Adult cuff