Done Hypertension (10)

Question 1

What is the normal range for blood pressure levels?

Answer 1

Less than 120 and 80

Question 2

What is the range for hypertensive crisis?

Answer 2

Higher than 180
and/ or
Higher than 120

Question 3

Describe a hypertensive headache.

Locations? 4
Patients may feel? 5

Answer 3

Location
-Diffuse (holocephalic)
-Sides of the head
-Back of the head (occiput)
-Behind the eye(s)

Patient may feel…
-Pressure
-Pulsation
-Nausea
-Dizziness
-Blurred vision

Question 4

What are the ‘nonspecific’ symptoms a person may have when they are initially diagnosed with hypertension?

Answer 4

Cerebrovascular Accidents/Stroke

Transient Ischemic Attacks/”Little strokes”

Coronary Artery Disease

Angina / MI

Retinal Changes – Vision Problems

Kidney Changes – Chronic Kidney Disease

Question 5

What diagnostic tests may be ordered to determine if a patient is experiencing long-term complications of hypertension? I am referring to organ damage.

Answer 5

Hematuria, proteinuria, elevated BUN and creatinine indicate renal disease.

Chest x-ray may indicate cardiomegaly.

Left atrial and left ventricular enlargement can be detected via x-ray and ECG/EKG

Question 6

What is considered a drink in regard to the limits?

liquor (spirits)?
Wine?
Beer?

test question**

Answer 6

1.5 ounces of liquor (spirits)

5 ounces of wine

12 ounces of beer

Question 7

What indicates ischemia in hypertension?

Answer 7

Cotton Wool Spots - indicate ischemia!!!!!!!! (TEST QUESTION)

A funduscopic examination may be taken by a skilled practitioner.

The appearance of the retina can be a reliable indicator of the severity and diagnosis of the hypertension.

Question 8

What would you teach a patient about lifestyle modifications to address hypertension?

Answer 8

Limit sodium
Read food labels
Lose weight
No more than 1-2 drinks daily

Question 9

ACE inhibitors (prils)

adverse effects?

Answer 9

Orthostatic hypotension, especially
after the 1st dose

Dry, nonproductive cough

Angioedema

Question 10

ARBS (sartan)

Answer 10

Orthostatic hypotension

Doesn’t cause cough like ACE-
Inhibitors

Question 11

ACE and ARBS warning for?

Answer 11

Fetal toxicity

Question 12

Beta Blockers (lols)

adverse effect?

Non selective beta blockers like
carvedilol affect what?

patient will have?

Answer 12

Orthostatic hypotension

Non selective affect heart and lungs
Be careful in patients with COPD/ Asthma

Will have wheezing and dyspnea