Hypertension Flashcards
1
Q
<120/<80
Normal
120/129/<80 elevated
130/80-99 stage 1
140/190(> or equal to)
A
Stroke volume × HR× SVR= MAP
2
Q
Kidney dysfunction contribution to primary HTN
Chronic sympathetic nerve activation
A
Impaired natriuresi
Kidney dysfunction
BP rises until Salt and water can return to normal
Chronic primary HTN
3
Q
Risk factors Black males Family history Obesity Alcoholism
A
Age Isolated systolic hypertension Large arteries lose their compliance Degraded elastin Accumulation of collagen and calcium on the arterial wall
4
Q
Secondary htn Renal artery stenosis Causes Inc renin production Fibromuscular dysplasia Fibromuscular hyperplasia alternating w regions of aneurysm String of beads Poorly perfused kidney may atrophy Assymetrical kidney Do not give ACE inhibitors
Acute and chronic renal disease OCP NSAID Corticosteroid Cocaine meth Hyperaldosteronism Obstructive sleep apnea Cushing disease
A
Hypertrophy concentric (parallel)
HF
Aortic dissection aneurysm
5
Q
CVA/ Stroke
Retinopathy
Nephrosclerosis
A
Hypertensive urgency(>180/120 w absence of end organ damage) Gradual lower HTN emergency ICH papillodemea aKI Pulmonary edema HF decompensated HF GRADUAL LOWER Hyaline deposits in vessel wall Leak of PP in media
