Dr.BrenDr.PatExam1-Cardio Flashcards
What is the most common PRIMARY diagnosis in the US?
Hypertension
What % of patients have ‘white coat’ HTN?
15-20%
What % of HTN is idiopathic?
90%q
We would LOVE, to have all patients be under ___/___ for their BP, but it depends on age and comorbidities.
140/90
JNC 7 vs JNC 8: the GOAL is to have DBP be LESS THAN ____ and the SBP Depends on WHAT?
DBP: less than 90….SBP depends on AGE
JNC 7 vs JNC 8: greater than or equal to age 60 we a SBP less than WHAT is considered acceptable?
less than 150
JNC 7 vs JNC 8: less than 60 years of age the SBP should be less than WHAT to be considered not hypertensive?
less than 140
JNC 7 vs JNC 8: CKD or DM (and older than 18), the SBP should be less than _____ to consider the pt not hypertensive.
less than 140
What was the most common side effect with almost EVERY single anti-hypertensive drugs???
orthostatic hypotension
What was the only hypertension drug that has the side effect of gingival hyperplasia? What is a generic name example?
Ca channel blockers…nifedipine
BP and Dental Tx Guidelines: for a BP less than ___/___ and dental tx can be done and there is no need to refer to a physician
less than 120/80
BP and Dental Tx Guidelines: for a BP greater than or equal to ____/____ BUT less than ____/____, you can do any required tx, but encourage the patient to see physician
120/80 to 140/90……OR…..140/90 but less than 160/100
BP and Dental Tx Guidelines: What range is the patient in if we CAN DO ANY REQUIRED TX, but consider intraoperative monitoring of BP for upper level stage 2 HTN? ALSO, for this range you need to refer to a physician with in WHAT AMOUNT OF TIME???
160/100 to 180/110….WITHIN 1 MONTH
BP and Dental Tx Guidelines: what BP range do we defer ELECTIVE treatment and refer to a physician ASAP, or if symptomatic refer immediately?
GREATER THAN or EQUAL TO 180/110
BP and Dental Tx Guidelines: Is epinephrine contraindicated in Pts with HTN? What is the biggest concern with General Anesthesia?
Epi is not contraindicated, fluctuations in BP is biggest concern with GENERAL anesthesia (hypotension)
