Exam 2 Flashcards

1
Q

Formula for cardiac output (CO)

A

stroke volume x HR

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2
Q

What is systemic vascular resistance (SVR)

A
  • force opposing flow
  • radius of small arteries & arterioles
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3
Q

What is harder for the heart to pump?

A
  • constricted arteries (high systemic resistance)
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4
Q

Formula for BP

A

cardiac output x systemic vascular resistance

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5
Q

What helps w/ cardiac output?

A

RAAS & renal system

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6
Q

What organ is angiotensin I converted to angiotensin II in?

A

the lungs

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7
Q

Range for ELEVATED BP

A

systolic: 120-129
diastolic: less than 80

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8
Q

Range for hypertension stage 1

A

systolic: 130-139
diastolic: 80–89

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9
Q

Range for hypertension stage 2

A

systolic: 140 or higher

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10
Q

What age are men more common in to developing hypertension

A

under 55

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11
Q

What age do females become more prone to developing hypertension (b/c of low estrogen)

A

55 +

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12
Q

What risk are men more prone to?

A

heart attacks than strokes

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13
Q

Health disparities in blacks if hypertension is left untreated?

A
  • increase in organ damage
  • increase in mortality
  • less responsive to ACEI
  • highest prevalence worldwide
  • females more than males
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14
Q

Health disparities in Hispanics if hypertension is left untreated?

A
  • decreased awareness
  • less likely to receive treatment
  • lower rates of control
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15
Q

Explain Primary Hypertension

A
  • increase in BP w/ no identifiable cause
  • “essential” or “idiopathic
  • 90-95% of adult cases
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16
Q

Explain Secondary Hypertension

A
  • sometimes BC can cause it
  • increase in BP due to specific underlying cause
  • 5-10% of adult cases
  • kidney disease
17
Q

What occurs w/ hypertension in older adults?

A
  • over age 55
  • physiologic changes
  • increased sensitivity to BP changes
  • orthostatic hypotension
18
Q

What are modifiable risk factors?

A
  • alcohol
  • sedentary lifestyle
  • stress
  • smoking
  • socioeconomic status
    diabetes
  • excessive sodium
19
Q

What is not ususally in a DASH diet?

A
  • sodium
20
Q

What are some prevention strategies or how they can modify their lifestyle (secondary prevention) ?

A
  • DASH diet: fruits, veggies, low fat dairy, meat, beans, nuts, low sodium
  • weight loss
  • exercise program
  • low/moderate alcohol consumption
  • quit smoking
  • reducing stress
21
Q

Patho of Primary Hypertension

A
  • sustained increased systemic vascular (SVR)
    OR
  • heredity
  • water & sodium retention
  • alerted renin-angiotensin mechanism
  • stress: psychological & physiologic
  • insulin resistance
  • endothelial cell dysfunction
22
Q

Clinical manifestations for hypertension

A
  • usually asymptomatic

secondary symptoms include
- fatigue
- decreased activity tolerance
- dizziness
- palpitations
- dyspnea

23
Q

What complications can occur in which systems for hypertension?

A
  • cardiac
    -cerebrovascular
  • peripheral vascular
  • renal
  • retinopathy
24
Q

Diagnostic studies for hypertension

A
  • history & physical
  • BP
  • urinalysis
  • BUN & creatinine, GFR
  • serum electrolytes
  • serum lipid profile
    -ECG
25
Q

What the function of the heart

A

delivers blood to the lungs to be oxygenated & then to the systemic circulation to supply oxygen to the tissues

26
Q

What are the 3 layers of the heart

A
  • endocardium
  • myocardium
  • epicardium