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Key Points and Final Exam Study Guide NUR 5334
Key points/guidelines on HTN/Heart Failure management:
• HTN is define as SBP > 140 mm Hg or DBP > 90 mm Hg.
• Diagnosis should be based on several BP readings over one to two weeks, not just
one BP reading.
• HTN treatment goal is to reduce cardiovascular and renal morbidity and mortality.
• Most common form of HTN is primary or essential HTN.
• The target SBP for pts ages 65 to 79 years is below 140 mm Hg (Burchum &
Rosenthal, 2016 page 511--this is your required text book Lehne’s).
• Pts 80 y/o and older target SBP is below 145 mm Hg.
• BP categories (defined by JNC 7):
• Normal
• Systolic BP below 120 mm Hg and diastolic BP
below 80 mm Hg
• Prehypertension
• Systolic BP of 120-139 mm Hg or diastolic BP of 80-89 mm Hg
• Hypertension
• Systolic BP above 140 mm Hg or diastolic BP
above 90 mm Hg
, KEY POINTS AND FINAL EXAM STUDY GUIDE NUR
5334 WITH REFERENCE 100% CORRECT DOWNLOAD
TO SCORE A RATED A+
• Stage 2 hypertension: Systolic BP and diastolic BP in different
categories (for example, 160/92 mm Hg)
Questions:
• A 30-year-old man in for annual examination. On last exam one year ago, BP was
120/70. Patient has no complaint. On examination, vital signs: BP 158/96 mm Hg, P 88,
R 20 T 98.6 F orally, BMI 34 Kg/m2. Rest of examination showed normal results. What
would your next step be?
• Start antihypertensive therapy with one agent
• Start antihypertensive therapy with two agents
• Check BP two more times in the next two weeks.
• Send patient to ER