SOLUTIONS GUARANTEE A+
✔✔Approximately ____% of seniors have a chronic illness and over ____% have 2+ -
✔✔90% have 1
75% have 2+
✔✔Comorbidity - ✔✔2+ chronic diseases
✔✔Having comorbidity will increase a patient's ____ and ____________. -
✔✔Complexity
Health Risks
✔✔Complexities of Comorbidity - ✔✔Contradictory Treatments
Adverse Drug Interactions
Compounding Symptoms leads to Poor Compliance
Increased Risk for Organ Failure
✔✔Risk Factors for HTN - ✔✔FHx of HTN
Obesity
High Sodium Diet
Smoking
ETOH
✔✔Symptoms of HTN - ✔✔Often Asymptomatic
Headache is most common symptom
✔✔Diagnosis of HTN - ✔✔Blood Pressure Reading (takes several to confirm)
"Silent Killer"
✔✔Systolic BP - ✔✔Pressure in arteries when heart Contracts
✔✔Diastolic BP - ✔✔Pressure in arteries when heart Relaxes
✔✔Hypotensive - ✔✔Less than 90/60
✔✔Normal BP - ✔✔90/60 to 120/80
✔✔Prehypertensive ("Stage 1 Hypertension") - ✔✔121/81 to 140/90
✔✔Hypertensive ("Stage 2 Hypertension") - ✔✔Greater than 140/90
, ✔✔Hypertension leads to... - ✔✔HTN Damages Blood Vessels:
Impaired Vision
Renal Failure
CVA (Hemorrhagic)
CAD/MI
CHF
✔✔Non-Pharmacological Management of HTN - ✔✔Low Sodium Diet
Exercise
Stop Smoking/ETOH
BP Log at Home
✔✔Pharmacological Management of HTN - ✔✔ACE Inhibitors
Ca Channel Blockers
Diuretics
ARBS
✔✔ACE Inhibitors - ✔✔Relax arteries and block the reabsorption of water by kidneys
✔✔Lisinopril (Zestril) - ✔✔ACE Inhibitor
✔✔Lotensin (Benazepril) - ✔✔ACE Inhibitor
✔✔Ca Channel Blockers - ✔✔Dilate the arteries and reduce the force of the heart's
contractions
✔✔Norvasc (Amlodipine) - ✔✔Ca Channel Blocker
✔✔Cardizem (Diltiazem) - ✔✔Ca Channel Blocker
✔✔Diuretics - ✔✔Reduce the volume of fluid in the blood vessels by urinating excess
fluid
✔✔Hydrochlorothiazide (HCTZ) - ✔✔Diuretic
✔✔ARBs - ✔✔Dilate the arteries
✔✔Cozaar (Losartan) - ✔✔ARB
✔✔Benicar (Olmesartan) - ✔✔ARB
✔✔Type I DM - ✔✔Insulin Insufficiency: