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
how long do you listen after the disappearance of sound at the end of taking a BP
after 20-30mmHg after last sound
26
how do you record the BP
120/80mmHg R.A.S 5pm. Adult cuff