hypertension Flashcards
pre hypertension
Systolic pressures between 120 and 139; diastolic
pressures between 80 and 89
stage 1 hypertension
Systolic pressures between 140 and 159;
diastolic pressures between 90 and 99
stage 2 hypertension
Systolic pressures 160 or greater; diastolic
pressures 100 or greater.
primary hypertnsion
90% to 95% of all cases of hypertension
Its cause is unknown
secondary hypertension
Caused by underlying factors, such as kidney disease, certain arterial conditions, some drugs, and occasionally pregnancy
cardiac output
The volume of blood pumped by the heart in a specific period (usually 1 minute)
Determined by strength, rate, and rhythm of the contraction of the left ventricle and the blood volume
peripheral vascular resistance
Force in the blood vessels that left ventricle must overcome to eject blood from the heart
Resistance to blood flow determined by diameter of the blood vessels and blood viscosity (thickness)
Increased peripheral vascular resistance: the most prominent characteristic of hypertension
s/s primary hypertension
Occipital headaches that are more severe on arising
Lightheadedness
Epistaxis (nose bleeds)
If hypertension has damaged blood vessels in the heart, kidneys, eyes, or brain, patient may have symptoms of impaired function of those organs
antihypertension drugs
Diuretics
Beta-adrenergic receptor blockers
Calcium antagonists
Angiotensin-converting enzyme (ACE) inhibitors (or ACEIs
cause of seconday hypertension
Renal disease Excess secretion of adrenal hormones Narrowing of the aorta Increased intracranial pressure Some drugs such as vasoconstrictors
orthrostartic hypotension
Sudden drop in systolic blood pressure, usually 20 mm Hg, when going from lying or sitting to a standing position
Monitor for lightheadedness, dizziness, syncope