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,BP: - correct ans:HR * SV * PVR
PVR increases as you age, stiffer pipes
Brain - correct ans:Stroke, vascular (multi-infarct) dementia
Cardio - correct ans:Atherosclerosis, myocardial infarction, left ventricular hypertrophy, heart failure
Kidney - correct ans:Hypertensive nephropathy, renal failure
Eye - correct ans:Hypertensive retinopathy with risk for blindness
Hypertensive Retinopathy: only part of the body you can see the damage; if there is damage here there
is damage everywhere
Grade 1: - correct ans:Common in long-standing poorly controlled HTN, reversible
Narrowing of terminal arteriolar branches
No vision changes or permanent findingsgs
Grade 2: - correct ans:Common in long-standing poorly controlled HTN, reversible
Narrowing of arterioles with severe local constriction
No vision changes or permanent findings
Grade 3: - correct ans:Usually when DBP over 110, HTN emergency
Preceding sings with flame-shaped hemorrhages
Potential for visual changes (black spots in the visual field) & permanent findings
Grade 4: - correct ans:Usually when DBP over 130, HTN emergency
Papilledema (too much pressure in the brain) with preceding signs
Potential for visual change and permanent findin
, BP Goals - correct ans:JNC-8: <140/<90 for nearly all
AHA/ACC = <130/<80 for nearly all
Diagnosis of HTN: - correct ans:Need 2 separate readings
HTN Additional test - correct ans:Fasting blood glucose, CBC, lipid, serum Cr and GFR, Na, K Ca, TSH,
Urinalysis,
EKG- look for chamber enlargement
Options: Echo, uric acid, urinary albumin: cr ratio
Start meds and recheck in 1 month
Diet - correct ans:Consume a dietary pattern that emphasizes intake of vegetables, fruits, and whole
grains; includes low-fat dairy products, poultry, fish, legumes, nontropical vegetable oils, and nuts; and
limits intake of sweets, sugar-sweetened beverages, and red meats (e.g., D-ASH dietary pattern)
-11
-3mmHg
Moderate alcohol - correct ans:In individuals who drink alcohol, reduce intake to Men <2 drinks daily
and women < 1 drink daily
-4mmHg
-3mmHg
Weight reduction - correct ans:Maintain /Lose weight. Each Kg = -1mmHg
Low Na intake - correct ans:Further reduction of sodium intake to 1500 mg/day is desirable because it is
associated with an even greater reduction in BP Reduce intake by at least 1000 mg/day because that will
lower BP, even if the desired daily sodium intake is not yet achieved
-5mmHg
-2mmHg