week 1 - HTN + cardiac Flashcards

1
Q

what is a hypertensive emergency?

A

-emergent hypertension
-BP is so high that there is evidence of target organ damage

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2
Q

what is hypertensive urgency?

A

when BP is severely high but there is no evidence of target organ damage

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3
Q

what is isolated systolic hypertension?

A

when systolic pressure is >140 and diastolic is <80
-most seen in older adults

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4
Q

define masked hypertension.

A

when a patients BP is measured normal in the clinical setting but hypertensive outside the clinical setting

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5
Q

define primary hypertension?

A

hypertension with no identifiable cause

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6
Q

define rebound hypertension?

A

a patient with hypertension that has it pharmacologically controlled, but becomes abnormally high when that medication is stopped

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7
Q

what is resistant hypertension?

A

hypertension treated with 3+ antihypertensives of 3+ different classes; one must be a diuretic

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8
Q

define secondary hypertension?

A

high blood pressure as a result of another condition
(an identifiable cause)

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9
Q

what is target organ damage?

A

organ damage as a result/ consequence of hypertension

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10
Q

what is white coat hypertension?

A

hypertension in clinical settings, when otherwise the patient has a normal blood pressure outside the clinical setting

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11
Q

what BP reading is considered HTN?

A

a persistent reading of 140/90 or higher

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12
Q

An elevated bp is considered…….

A

120-129/ 80 or less

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13
Q

hypertension: stage 1 is considered a BP reading of …..

A

130-139/80-89

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14
Q

Hypertension stage 2 is considered a BP reading of ……..

A

140 or higher/ 90 or higher

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15
Q

a hypertensive crisis is a BP of ___/___ or higher.

A

180/120

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16
Q

Complications of HTN because of decreased perfusion include:

A

-AKI or CKD
-TIA or CVA
-retinal damage

17
Q

Even though HTN is referred to as the silent killer because it is often asymptomatic, what are some S+S that would indicate HTN?

A

-headaches in the morning (occipital)
-flushed face
-edema
-fatigue/ lethargy
-nose bleeds
-dizziness
-vision changes
-nocturia
-palpitations

18
Q

When assessing a patient for HTN, what are some things you may find that would indicate a HTN diagnoses?

A

-JVD
-elevated BP
-carotid bruits
-enlarged thyroid
-arrythmias or S3/S4 heart sounds
-inequal bilateral pulses
-S+S of cerebral thrombosis

19
Q

Foods high in _______ should be avoided after the diagnoses of HTN has been made.

A

salt/ sodium

20
Q

what medication will you give to treat Torsade’s De Points?

A

magnesium sulfate