exam 4

Question 1

How many adults in US have HPTN

Answer 1

65 million

Question 2

what % don’t know they ahve HPTN

Answer 2

30%

Question 3

% of primary hypertension

Answer 3

95%

Question 4

% of secondary hypertension

Answer 4

5%

Question 5

Primary/Seconday what is indentify cause and what isnt

Answer 5

Primary - unidentifiable Secondary - indentifiable

Question 6

white coat

Answer 6

hypertension in clinic

Question 7

masked hptn

Answer 7

normal BP at clinic - hptn at home/work

Question 8

Normotension

Answer 8

<120/80

Question 9

We must look at HPTN on _____ and assess ___ readings

Answer 9

continueum and 2

Question 10

Prehypertension range

Answer 10

120-139/80-89

Question 11

prehypertension treatment

Answer 11

lifestyle - exercise, lose #, no smoke, decrease sodium, diet, stop drinking

Question 12

HPTN Stage 1

Answer 12

140-159/90-99

Question 13

HPTN Stage1 Treat

Answer 13

lifestyle change and meds

Question 14

HPTN Stage 2

Answer 14

160+ / 100+

Question 15

HPTN Stage 2 treat

Answer 15

medications

Question 16

Risk factors

Answer 16

age, men over women until menopause, obesity, dyslipidemia, DM, sedentary life, metabolic syndrome, african american (male), oral contraceptives when smoke/fat

Question 17

Systemic RF

Answer 17

increased sympathetic nervous system activity, increased absorption of Na, Cl, H20. increased ECFV, increased systemic vascular resistence

Question 18

Underlying systemic effects from HPTN

Answer 18

heart disease, stroke, kidney disease, PAD, retinopathy

Question 19

nursing manage

Answer 19

loss, DASH, Na restrict 2g, activity, mod alcohol consumed, no smoke, compl/alt. therapy (yoga/acu), manage stress

Question 20

Pharm treat

Answer 20

2 drugs. Diuretics, BB, Alpha2 Agonist,, vasodilator, ACE, ARB, CC blocker

Question 21

when can you stop meds?

Answer 21

when <140/90 for 1 year +

Question 22

HPTN Crisis

Answer 22

> 180/120

Question 23

causes of HPTN Crisis

Answer 23

head injury, pheochromocytoma, food/drug interaction, eclampsia, drugs, renal disease. AA men old

Question 24

HPTN urgency

Answer 24

no organ damage, severe HA, epistaxis, anxiety -

Question 25

goal for HPTN urgency

Answer 25

reudce BP to 160/110

Question 26

HPTN Emergency

Answer 26

180/120 - organ damage.

Question 27

causes of HPTN Emergency

Answer 27

pregnancy, MI, dissecting aurotic aneurysm, intracranial hemorrhage

Question 28

s/s of HPTN emergency

Answer 28

HA, blurred vision, AMS, seizures, neuro deficit, chest pain, SOB, renal fail