HTN

Question 1

What is it?

Answer 1

A blood pressure above 130/80

Question 2

How do we treat it?

Answer 2

ACE, Arbs, Calcium channel blockers, diuretics, and beta blockers

Question 3

What life style changes do you want to make when you have it?

Answer 3

Cut sodium and water, exercise, weight reduction, decrease smoking, reduce stress, decrease alcohol consumption

Question 4

When should you take your medications?

Answer 4

In the morning

Question 5

What assessment findings relate to HTN?

Answer 5

S/S, orthostatic, tachycardia, stress, and sedentary lifestyle

Question 6

Priority outcomes for patient outcomes

Answer 6

Verbalize the individualized plan of care, lifestyle changes before implementing drugs, encourage adherence to the plan of care (don’t stop taking it because you start to feel better), buy ABPM device to check levels at home, report adverse drug affects

Question 7

What’s important to know about HTN, what should you tell the patient about it?

Answer 7

Can cause atherosclerosis, PAD

Question 8

Signs and Symptoms of HTN

Answer 8

Mostly asymptomatic, headaches, facial flushing, dizziness, fainting, nosebleed, chest pain, blood in urine, pounding in chest/neck/ears

Question 9

How to access your pt with HTN

Answer 9

History: review risk factors, as well as history or CVD, current use of drug therapy or illicit drugs

Physical: obtain blood pressure in both arms, 2 or more readings a visit, take orthostatic

Diagnostics: test kidney (BUN, protein or blood in urine, serum creatine levels), EKG

Question 10

What does HTN affect the body

Answer 10

Cause stroke, MI, kidney failure, and death

Question 11

HTN goals

Answer 11

Lower BP, make lifestyle changes, diet changes, medicine, and check BP at home