Pharm Quiz hypertensions 2 Flashcards
Different classification of hypertension
Normal
prehypertension
hypertension
isolated systolic hypertension
3 categories of hypertension
primary
secondary
malignant
hypertension is called
silent disease ( silent killer)
Primary (essential) hypertension
90% of all cases
exact cause is unknown
treated but not cured
Adults, African American, Postmenopausal women
Secondary hypertension
10% all cases
Identifiable primary cause
possible to treat the cause directly
cured in some
consequences of hypertension
Heart disease ( myocardial infarction (MI) Heart failure)
kidney disease
stroke
To reduce C.V. and Renal effects
achieve a B/P of <130 and <80
With treatment risk of stroke, M.I. and heart failure decrease by
20-50%
The major cause of treatment failure is clients…
lack of adherence to the prescribed treatment
Medication is costly
side effects: vertigo, sedative, sexual dysfunction
Sodium restriction
NO more than 2300mg/day
1500 if high rick
Read food levels containing K+. Salt substitute
Alcohol restriction
limit 2drinks/day
Maintain adequate hydration of water 2-3 L
DASH (dietary approaches to stop hypertension)
eating plan
Eat low fat meats
eat fruits/veggies
Eat foods low in cholesterol
Aerobic exercise
30-45min/day
brisk walking/biking
Avoid K+ if on?
potassium sparing diuretic. (Aldactone)
weight loss can reduce BP by
60%