ch 27 hypertension Flashcards
nursing education for beta blocker
use of strategies to prevent falls from orthostatic hypotension
hypertensive patient reports gradual onset of blurry vision and decreased visual acuity
retinal blood vessel damage
nonmodifiable risk factor for hypertension
family history of hypertension
difference between hypertensive urgency and hypertensive emergency
emergencies associated with evidence of target organ damage
bp 146/96 nursing education for hypertensive meds
a single elevated bp does not confirm hypertension, diagnosis requires multiple readings
primary rationale to avoid tobacco use for hypertension
tobacco use increases clients concurrent risk of heart disease
nursing action for diagnosis of ineffective health maintenance related to non adherence to therapeutic regimen for hypertension
client takes med as prescribed and reports any adverse side effects
nursing education for new diagnosis for hypertension
client will return demonstrate measuring a blood pressure
prolonged uncontrolled hypertension risks what health problem
chronic kidney diseases
nursing education for reported dizziness when taking alpha adrenergic blocker
rising slowly from a lying or sitting position
which bp is goal of treatment
130/80 or lower
goal of intravenous vasodilator therapy for hypertensive emergency
decrease systolic bp by nor more than 25% in the first hour
avoid what for accurate bp measurement
taking bp 10 minutes after nicotine or coffee ingestion
risk factors for primary hypertension
obesity and high intake of sodium and saturated fat
what item should nurse integrate when taking a diuretic and beta blocker
pay close attention to hydration status because of increased sensitivity to extra cellular volume depletion
compare primary hypertension and secondary hypertension
secondary has a specific cause
what contributing factor should be looked at first for unimproved hypertension
lack of adherence to drug therapy
for unstable bp readings how often should you check
every 5 minutes
s/s of what comorbidity with hypertension
atherosclerosis
most appropriate outcome for hypertension treatment
client will reduce sodium to less than 2 g daily
why does client have to visit more often for hypertension
to make sure your health is stable
nursing diagnosis for hypertension
noncompliance with therapeutic regimen related to adverse effects of prescribed therapy
health problems related to uncontrolled hypertension
transient ischemic attacks
cerebrovascular disease
retinal hemorrhage
priority diet modifications hypertension
reduced fat and sodium
what med for hypertensive emergency
sodium nitropusside
which client is most at risk for hypertensive emergency
client with hypertension that was diagnosed 2 years ago
bp 116/101
stage 2 hypertensive
prevent progression for hypertensive state
exercise on a regular basis
normal bp
less that 120/80
hypertension highest among what ethnic group
african americans
which assessment for worsening hypertension
do ever see spots in front of your eyes
relationship between hypertension and age
structural and functional changes in the cardiovascular system that occur with age contribute to an increase in blood pressure
bp 159/100 - nursing education for hypertension if asymptomatic
hypertension greatly increases risk for stroke and heart disease regardless of symptoms
potential benefits of anti hypertensives
-decreased peripheral resistance
-decreased blood volume
-decrease strength and rate for myocardial contractions
nurse education - thiazide diuretic
this med causes low blood pressure and dizziness if you get up too fast
goal of treatment for hypertensive emergency
normalizing bp within 24-48 hours
side effects of hydrochlorothiazide
increase urine output
what levels to observe when taking furosemide
potassium level
bp of 122/76 and 128/78
elevated
