Hypertension Flashcards

1
Q

dyslipidemia

A

abnormal blood lipid levels, including high total, low-density lipoprotein, and triglyceride levels as well as low high-density lipoprotein levels

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2
Q

hypertensive emergency

A

a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage. 180/120 mm Hg, lower to prevent organ damage.

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3
Q

hypertensive urgency

A

a situation in which blood pressure is severely elevated but there is no evidence of impending or progressive target organ damage.

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4
Q

isolated systolic hypertension

A

a condition most commonly seen in the older adult in which the systolic pressure is greater than 140 mm Hg and the diastolic pressure is less than 80 mm Hg

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5
Q

monotherapy

A

medication therapy with a single agent

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6
Q

primary hypertension

A

denotes high blood pressure from an unidentified cause; also called essential hypertension

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7
Q

rebound hypertension

A

blood pressure that is controlled with medication and becomes uncontrolled (abnormally high) with the abrupt discontinuation of medication

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8
Q

secondary hypertension

A

high blood pressure from an identified cause, such as kidney disease

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9
Q

BP classification, normal

A

<120/<80 mm Hg, Follow up exam in 2 years

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10
Q

BP classification, prehypertension

A

120-139/80-89 mm Hg, follow-up in 1 year

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11
Q

BP classification, Stage 1 hypertension

A

140-159/90-99 mm Hg, confirm within 1 month

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12
Q

BP classification, Stage 2 hypertension

A

≥160/≥100, Evaluate or refer to source of care within 1 month.
For those with higher pressures (e.g., >180/100 mm Hg), evaluate and treat immediately or within 1 week, depending on clinical situation and complications

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13
Q

Hypertension is determined by what readings?

A

The average of systolic and diastolic volumes over 140/90 mm Hg taken over 1-4 weeks by a health care provider.

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14
Q

How is blood pressure measured?

A

Cardiac output X peripheral resistance.

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15
Q

How is cardiac output determined?

A

Heart rate X stroke volume

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16
Q

How can one determine ventricular hypertrophy?

A

Echocardiography

17
Q

What is the initial medication used for uncomplicated hypertension?

A

thiazide diuretics

18
Q

What are the major goals for patients to understand the disease process of hypertension?

A

Treatment, participation in a self-care problem and absence of complications.

19
Q

What are the therapeutic goals of reduction of a mean blood pressure within the first hour of treatment?

A

20-25%, further reduction to 160/100 mm Hg over a period of 6 hours.

20
Q

What is the medication of choice in a hypertensive emergency?
Hint: IV vasodialoators

A

nitroprusside (Nitropress), nicardipine (Cardene), clevidipine (Cleviprex), enalaprilat (Vasotec), and nitroglycerin. immediate on-set & short half life