Concepts Review
Altered Perfusion: - ANS ✔✔Hypertension
I. Key Concepts Review A. What is blood pressure? (figure 32-1) - ANS ✔✔Blood pressure
Cardiac output x Systemic vascular resistance
Cardiac output - ANS ✔✔Heart rate * Stroke Volume
Cardiac - ANS ✔✔• Heart rate • Contractility • Conductivity
Renal fluid volume control - ANS ✔✔• Renin-angiotensin-aldosterone system • Natriuretic
peptides
Systemic vascular resistance - ANS ✔✔Sympathetic nervous system & Neurohormonal & Local
regulation
Sympathetic nervous system - ANS ✔✔•a- and a-Adrenergic receptors (vasoconstriction) • A-
Adrenergic receptors (vasodilation)
Neurohormonal - ANS ✔✔Vasoconstrictors • Angiotensin • Norepinephrine
Local regulation - ANS ✔✔Vasodilators • Prostaglandins • Nitric oxide Vasoconstrictors •
Endothelin
Hypertension II.Manifestations A. Assessment findings: - ANS ✔✔1. Prevalence: 46% of adults in
the US have HTN and accounts for almost 24% of all deaths. Of those with hypertension, 48%
are not well managed