Hypertension Flashcards

1
Q
  • systolic BP of 140mmHg or higher OR diastolic BP of 90mmHg or higher
  • based on average of three or more readings taken on separate occasions
A

hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what serious conditions is HTN a major risk for?

A
  • coronary heart disease
  • heart failure
  • stroke
  • renal failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what factors affect arterial circulation?

A
  • blood flow
  • peripheral vascular resistance
  • blood pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the highest pressure exerted against the arterial walls at the peak of ventricular contraction

A

systolic blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the lowest pressure exerted during ventricular relaxation

A

diastolic blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what systolic pressure (and above) is considered hypertensive?

A

140mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what diastolic pressure (and above) is considered hypertensive?

A

90mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what factors determine peripheral vascular resistance?

A
  • blood viscosity
  • length of the vessel
  • diameter of the vessel & distensibility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

a hormone system that regulates blood pressure and water (fluid) balance

A

RAA system (Renin-Angiotensin-Aldosterone System)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where are the baroreceptors that stimulate the SNS when there is a drop in MAP located?

A
  • aortic arch

- carotid sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what happens when there is a drop in mean arterial pressure?

A

the baroreceptors in the aortic arch and carotid sinus stimulate the SNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is stimulated if there is a drop in renal perfusion?

A

renin is released (which converts to angiotensin I and then to angiotensin II - which is a potent vasoconstrictor and promotes water and sodium retention) &raquo_space; and ultimately BP goes up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which hormones are released from atrial cells to lower BP?

A
  • atrial natriuretic peptide

- brain natriuretic peptide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what hormone is released from smooth muscle cells and endothelial cells to lower BP by vasodilation?

A

-adrenomedullin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what two hormones are released from the posterior pituitary gland to promote water retention and vasoconstriction, to raise BP?

A
  • vasopressin

- antidiuretic hormone (ADH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

hardening of the arteries

A

arterioscerosis

17
Q

plaque accumulation

A

atherosclerosis

18
Q
  • sensors located in the blood vessels

- a type of mechanoreceptor sensory neuron that is excited by stretch of the blood vessel

A

baroreceptors

19
Q
  • persistently elevated systemic BP
  • no identifiable cause
  • thought to develop from complex interactions among factors that regulate cardiac output and systemic vascular resistance
A

primary HTN

20
Q

-elevated BP resulting from an identifiable underlying process

A

secondary HTN

21
Q

what are some of the causes of secondary hypertension?

A
  • kidney disease
  • coarctation of the aorta
  • endocrine disorders
  • neurological disorders
  • drug use
  • pregnancy
22
Q
  • systolic BP is greater than 180mmHg and the diastolic BP measures greater than 120mmHg
  • immediate treatment is vital (within 1 hr)
A

hypertensive emergency (aka malignant hypertension)

23
Q

what is the time window for treatment for a hypertensive emergency?

A

1 hour

24
Q

what are some of the symptoms to look from in a hypertensive pregnant woman if pre-eclampsia is suspected?

A
  • systolic BP 30mmHg above baseline
  • diastolic BP 15-20mmHg above baseline
  • proteinuria
  • edema in upper half of body
25
Q

what distinguishes gestational hypertension from preeclampsia/eclampsia?

A

proteinuria

26
Q

what are some lifestyle modifications you can make to control HTN?

A
  • weight loss
  • dietary changes
  • restrict alcohol use
  • stop smoking
  • increase physical activity
  • stress reduction
27
Q

what are some pharmacologic therapies available for HTN?

A

-diuretics
-apha-adrenergic blockers
-beta- adrenergic blockers
centrally acting sympatholytics
-vasodilators
-ACE inhibitors
-angiotensin II receptor blockers
-calcium channel blockers

28
Q

what are some complementary therapies that might be helpful for HTN clients?

A
  • yoga
  • t’ai chi
  • meditation
  • guided therapy