systemic htn Flashcards
what is the single most common reason for visits to the doctor?
systemic HTN
normotensive ppl at age 55 have a _____lifetime risk or developing HTN
90%
what does JNC 8 base recommendations for BP to begin drugs for?
- age 2. coexisting diseases (DM, chronic renal disease) 3. race
Narrow or too-loose of cuff does what to BP?
overestimates
taking BP with a cuff is considered a direct or indirect method?
indirect
what is a direct method of taking bp?
intra-arterial cath
when the bp only occasionally exceeds normal
borderline HTN
elevated systemic BP WITHOUT KNOWN CAUSE (90% of cases)
primary HTN
elevated systemic BP for WHICH A CAUSE CAN BE IDENTIFIED
secondary HTN
hypertensive retinopathy grades III and IV and severe BP elevation
malignant HTN
what is maligant HTN indicative of?
target organ damage
hypertensive retinopathy grade: arteriolar narrowing w/ reddish appearance
grade 1
hypertensive retinopathy grade: AV nicking
stage 2
hypertensive retinopathy grade: hemorrhage & exudates
stage 3
hypertensive retinopathy grade: papilledema
stage 4
SAH is the leading cause of ____________disease
end stage renal disease
what is teh most common form of target end organ damage?
ischemic heart disease
if pt is hypertensive, not on any drugs, unprovoked hypokalemia
secondary HTN
JNC 8 recommends keeping the sBP less than ________
140
what are the drugs of choice for HTN
thiazide diuretics
____,____,____ are in the recommations for tx of systemic HTN, but _____are NOT
CCB, ACEi, ARBs recommended & beta blockers are not
what drugs are recommedned for systemic HTN in AF Am
thiazide diuretics + CCB
most common reason for loss of bp is?
(1) noncompliance (2) alcohol