MSN 624 MODULE 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

MSN 624 MODULE 1 EXAM QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS VERIFIED


Severe HTN/HTN Crisis

≥ 180 systolic blood pressure

and/or

≥ 120 diastolic

Hypertensive urgency

(severe asymptomatic) hypertension

Hypertensive emergency

signs of end-organ damage

Focal neurologic symptoms

anuria

CP , myocardial ischemia

CT/MRI findings indicative of cerebral ischemia and/or bleeding

Resistant hypertension

uncontrolled despite concurrent use of 3 antihypertensive agents of different classes

1 must be a diuretic

All dosed at the max



maximal doses of ≥ 4 medications belong to this class by default

Refractory hypertension

, max doses of ≥ 5 drugs

Must include chlorthalidone

Must include spironolactone

HTN Etiology

Hyperthyroidism

Sodium retention (side effect of vasodilators )

stimulants

NSAIDs

Oral contraceptives

Antidepressants

HTN Diagnostic tests

EKG

Urine studies - Na

Electrolytes,

Imaging - dissection, CVA, mediastinum, large heart

If blood pressure needs to be lowered quickly (hours)

Oral clonidine (rapid-acting)

Oral captopril (rapid-acting)

Oral or sublingual nitrates (rapid-acting)

Oral hydralazine (rapid-acting)

Infusion

If blood pressure needs to be lowered slowly (days)